Parents of students in grades K-12 claiming a nonmedical exemption must submit one annually.

These exemptions expire when the next vaccines are due or when the child enrolls in kindergarten.

Parents of students in preschool or child care must submit nonmedical exemptions at 2, 4, 6, 12 and 18 months of age.

Per Colorado Revised Statutes 25-4-2403, immunizing providers who sign the Certificate of Nonmedical Exemption must submit nonmedical exemption data to CIIS.

Submit the Certificate of nonmedical exemption received upon the completion of CDPHE’s Online Immunization Education Module.

Submit the Certificate of nonmedical exemption WITH a signature from an immunizing provider in Colorado who is a medical doctor, doctor of osteopathic medicine, advanced practice nurse, physician assistant/associate, registered nurse, or pharmacist OR.

If you submit to CIIS, the school can access the exemption information in CIIS, but cannot access the completed Certificate of nonmedical exemption There are two ways to submit a nonmedical exemption.īe sure to check with your student’s school, child care or college/university to find out if they need a printed copy of the Certificate of nonmedical exemption.

Per Colorado Revised Statutes 25-4-2403(2.5), immunizing providers must submit medical exemption data to CIIS.ĭownload to fill out - English | Spanish (Español) | Amharic | Arabic (عربى) | Burmese | Chinese (中文) | French | Korean (한국어) | Russian (русский) | Somali (Soomaali) | Vietnamese (Tiếng Việt).Check with your student’s school, child care or college/university to find out if they want the printed copy of the Certificate of medical exemption or, if they can access the “submitted” document from CIIS. You can submit a Certificate of medical exemption with CDPHE to include in the Colorado Immunization Information System (CIIS).Students with a completed Certificate of medical exemption signed by an advanced practice nurse, a physician assistant/associate, or physician licensed to practice medicine or osteopathic medicine in any state or territory of the United States will need to submit this Certificate only once unless the student’s information or school changes.Engage with the Water Quality Control Division.

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A urinary tract infection doesn’t cease urine production, so Choice C is also incorrect. Kidney stones are crystallized salts that form in the kidney and become trapped in the urinary tract, but they don’t stop urine production, so Choice B is false. Chronic renal failure, Choice A, is incorrect because the patient doesn’t have a history of renal disease and none of the respective signs and symptoms.

Acute renal failure is characterized by a sudden decrease in filtration through the glomeruli of the nephron, which causes all of these symptoms, as well as anuria (the complete cessation of urine production) to occur over a period of days or weeks, making Choice D the correct answer.

Hypertension, tachycardia, and distention of the abdomen imply that urine cannot be formed, increasing blood pressure and causing edema. The most telling aspect of this man’s condition is that he hasn’t urinated in two days, indicative of some sort of renal condition, and that he doesn’t have a previous history of kidney function loss.

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