Mask Exemption Updated
Mask Exemption Updated
Mask Exemption Updated
B
Alma, AR 72921
479-380-5724
Child’s Name:
3. Also, if yes, does a mask impact the impairment or health condition? If so, how?
4. Is the student currently under the care of the provider, and if so, for how long?
______________________has been under my care since ________________________. Their
health condition is directly associated with prolonged mask exposure. Removing the
mask is the treatment that is required. .
(I) that the Secretary has authorized the emergency use of the product;
(II) of the significant known and potential benefits and risks of such use, and of the
extent to which such benefits and risks are unknown; and
James W. Smith, DC