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Student Medical Waiver and Release Form

Educational institutions, protect against claims and lawsuits with this Student Medical Waiver and Release Form.
  • If you are providing vaccinations at your school against certain diseases, such as meningitis, make sure that any students who decline the vaccination sign this Release.
  • The student agrees to release and hold the school, its trustees, officers and employees, harmless against any liability or claims arising in future.
  • The student takes full responsibility for the risks involved with not receiving the vaccine, which may include death.
  • The student will not be allowed to reside in campus residence if they have not received this vaccination within the past 3 years.
This Student Medical Waiver and Release Form is provided in MS Word format, and is easy to download, fill in and print.

Download: Student Medical Waiver and Release Form

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Canadian Law Resources: (14-Apr-2018) E.&O.E.

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