Enter the Immunization Type (1), the date you received the exemption (2) and choose Medical or Religious in the Vaccine drop-down (3). We also change the CIR download to also download invalid shots as we now use our own system to check if shots are valid.
Added 12/10/15: For Temporary Exemptions choose the Type (1), the date the exemption expires (2) and choose Temp Medical in the Vaccine drop-down (3).