New York takes its own paper, not a statement written at home.
Medical exemption
Step 1: Get the paper. Medical Exemption Statement for Children 0-18 Years of Age, form DOH-5077. Open the form
Step 2: Who signs it. A doctor signs it. •Do this if your child will ever enter a school or day care.1.Have a doctor licensed in New York fill out form DOH-5077.•The doctor writes the health reason on it.2.Give the form to that school.
Step 3: How long it lasts. It has to be written again every year.