25 Nov 2015
Medical letter of exemptionMedical letter of exemption from the requirement for an International Certificate of Vaccination or Prophylaxis (ICVP)
Where a health professional advises that an individual should not be vaccinated on medical grounds, a medical letter of exemption (MLOE) should be provided which should be taken into consideration by the port/border health authorities in the destination country.
The ICVP yellow booklets used in the UK contains a template for a MLOE; this can be completed and stamped at designated Yellow Fever Vaccination Centres (YFVC).
It is not a requirement that MLOE is written by the YFVC; it is acceptable for a health professional supervising the care of an individual, but not working in a YFVC to provide this documentation if appropriate. In such instances, the MLOE can be written on headed paper of e.g. a hospital, clinic or medical centre (see example template below).
Guidelines on clinical procedures
- International Certificate of Vaccination or Prophylaxis (ICVP)
- Record keeping and consent
- Medical letter of exemption