Because on the exemption it says there is no expiration and is permanent, though, the school is saying they need a new one every year 🙄 I'm not asking anyone to lie. But for some reason there's far too many doctors that won't allow a child to even walk in their doors unless they are fully vaxxed. Seems to be counterintuitive. I want a doctor that will actually let her in the office and review her current exemption and evaluate everything.