This member-benefit sample form is a tool for practices to document refusal to consent to vaccination in a pediatric patient's medical record. It is not a waiver form; contact your local health department for more information.
The MGMA membership renewal portal is experiencing intermittent issues. We are working on a fix. If you're unable to renew, please call 877.275.6462 ext. 1888 or email service@mgma.com to renew.
