Honey? ：
Myself? , gender (male/female), ID number, and now living in a district in a province or city? Number, engaged in? Work.
My own reasons? Rational, classic? The people identified by the hospital as temporarily unsuitable for vaccination are now applying for temporary non-vaccination of COVID-19 vaccine. During this period, I will actively do a good job in personal prevention and control, report the temperature data to the community every day, maintain good hygiene habits in social occasions, and ensure personal health.
Hereby apply!
Applicant:
Id card:
Telephone message:
Date:
After reviewing the above documents and medical documents, evaluate the doctor:
On-site evaluation combined with consultation and physical examination gives preliminary opinions. Non-contraindication materials returned on the spot will no longer be accepted, and the preserved materials preliminarily judged as contraindications will be comprehensively judged by the expert group composed of the county health and wellness committee. For those who really cannot be vaccinated or need to suspend vaccination, a "Contraindication for Vaccination in COVID-19" shall be issued.
Because of age and health reasons can not go to the county hospital, you can entrust the Township People's government to submit materials, including copies of the above materials and contact telephone numbers. Most citizens who come here to issue certificates are needed by the unit. Remind you again that if you need to issue a certificate, you can go to the community health service center in your jurisdiction. Remember to bring your recent diagnosis medical record and ID card when handling, try to handle it yourself, or entrust an immediate family member to act as an agent. If yes, the patient's and agent's ID cards are required.