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Do I need a letter from my Doctor to say I don’t have to wear a mask?

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No, there is no need to get a letter from a doctor or the government to show that you do not need to wear a face covering. 

If you have a medical condition which means you cannot wear a face covering, for example, asthma, you only need to say, if asked, that you cannot wear a face covering because you are exempt.  

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