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Did you know that vaccines are not actually required for schools, universities and employment?

There are exemptions available in every state. 

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Find your state below to see specific information. 

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— ALABAMA

Alabama has vaccine exemptions for medical and religious reasons. 

A Certificate of Exemption can only be issued by a county health department. Please call or visit your local county health department for an exemption form. Click here for the phone number and address of your local health department.

Medical exemption form found here.

Religious exemption form found here. 


— ALASKA

Alaska has vaccine exemptions for medical and religious reasons.

Medical exemption form found here.

Religious exemption form found here. 


— ARIZONA

Arizona has vaccine exemptions for philosophical, medical and religious reasons.

Documentary proof is not required for a pupil to be admitted to school if one of the following occurs:

1. The parent or guardian of the pupil submits a signed statement to the school administrator stating that the parent or guardian has received information about immunizations provided by the department of health services and understands the risks and benefits of immunizations and the potential risks of nonimmunization and that due to personal beliefs, the parent or guardian does not consent to the immunization of the pupil

2. The school administrator receives written certification that is signed by the parent or guardian and by a physician or a registered nurse practitioner, that states that one or more of the required immunizations may be detrimental to the pupil’s health and that indicates the specific nature and probable duration of the medical condition or circumstance that precludes immunization.

Medical exemption form found here.

Religious exemption form found here. 

 


— ARKANSAS

Arkansas has vaccine exemptions for philosophical, medical and religious reasons.

To obtain an exemption parents/guardian/student must (1) sign a notarized statement requesting a religious, philosophical or medical exemption from the Department of Health, (2) complete an educational component developed by the Department of Health, (3) sign an informed consent with a refusal to vaccinate statement and (4) sign a statement of understanding that the unimmunized child/student may be removed from school during an outbreak.

Click here for the exemption application.

Click here for online exemption application.

More on exemptions here.


— CALIFORNIA

California has vaccine exemptions for medical reasons.

A Certificate of Exemption can only be issued by a licensed physician (M.D. or D.O.). Please call or visit your local licensed physician for an exemption form.

A medical exemption in California now needs to specify certain information. Please email us at [email protected] if you would like to be put into contact with doctors that give medical exemptions in CA.

Medical exemption form found here.

Religious exemption form found here. 

 


— COLORADO

Colorado has vaccine exemptions for philosophical, medical and religious reasons.

It is advised that parents to submit all exemption information directly to their school, as provided by Colorado state law, to retain federal privacy protections under the federal Family Educational Rights and Privacy Act (FERPA).

Students with a complete medical exemption form (signed by a medical doctor, doctor of osteopathic medicine, advanced practice nurse or delegated physician’s assistant) need to file this form only once unless the student’s information or school changes.
Click here for medical exemption.
Parents of students in grades K-12 claiming a non-medical exemption must file one annually.
There are several ways to file a non-medical exemption.
  • File the online non-medical exemption form with us to include in CIIS. Check with your student’s school or child care to find out if it needs a paper copy of the exemption form.
  • File our downloadable form with your student’s school or child care.
  • File a statement of exemption with your student’s school or child care. This statement should include: the student’s full name, age or date of birth, date the exemption was filed, the immunizations declined, and which type of non-medical exemption is being taken (personal belief or religious).

More on exemptions here


— CONNECTICUT

Connecticut has vaccine exemptions for medical and religious reasons.

Any student or child whose parents or guardian presents a statement that such immunization is contrary to the religious beliefs of such student or child is exempt from immunization requirements.  Medical exemptions are also allowed.

According to state law a child can be exempted from receiving a vaccine for medical conditions which are contraindicated or for religious reasons.

Please complete one of these forms and return it to your school nurse or daycare operator. Click here for medical exemption form. Click here for religious exemption form.

Exemption forms in different languages here.


— DELAWARE

Delaware has vaccine exemptions for medical and religious reasons.

Exemptions allowed for children whose physicians have submitted, in writing, that a specific immunizing agent would be detrimental to that child; and children whose parents or guardians present a notarized document that immunization is against their religious beliefs.

Religious exemption form here. Click here for medical exemption form.

More on the Delaware immunization regulation here.


— DISTRICT OF COLOMBIA

District of Colombia has vaccine exemptions for medical and religious reasons.

No certification of immunization shall be required for the admission to a school of a student:

(1) For whom the responsible person objects in good faith and in writing, to the chief official of the school, that immunization would violate his or her religious beliefs; or

(2) For whom the school has written certification by a private physician, his or her representative, or the public health authorities that immunization is medically inadvisable.

Medical exemption form here. Click here for the HPV out-out form.


— FLORIDA

Florida has vaccine exemptions for medical and religious reasons.

A request for a religious exemption from immunization requirements must be presented to the facility/school on the Department of Health’s Religious Exemption From Immunization form (DH 681 Form).  The DH 681 Form is issued only by county health departments and only for a child who is not immunized because of his/her family’s religious tenets or practices.  If a parent requests such an exemption, the county health department staff must use the current DH 681 Form, which has been signed by the parent affirming the written statement on the form that a religious conflict exists.

Religious exemption form (DH 681) here. More on exemption form required immunizations here.


— GEORGIA

Georgia has vaccine exemptions for medical and religious reasons.

There is no standard form for Religious Exemption, however, in 2015 the Department of Health created a form which appears to be an overreach of their authority.

Each child must have one of two items on file—either a valid Georgia Immunization Certificate (Form 3231) or a signed, notarized statement, which is called an affidavit of religious exemption.

A medical exemption must be marked on the Georgia Immunization Certificate (Form 3231). A letter from a physician, Advanced Practice Registered Nurse (APRN) or physician assistant (PA) attached to the certificate will not be accepted as a medical exemption. It must be marked on the certificate. You can get these forms at either your local public health department or your pediatrician’s office.

This affidavit of religious exemption should be filed instead of the Georgia Immunization Certificate (Form 3231). The affidavit does not expire. Religious exemption form here.


— HAWAII

Hawaii has vaccine exemptions for medical and religious reasons.

Children may be exempt from immunization requirements for medical or religious reasons, if the appropriate documentation is presented to the school. Religious exemption forms may be completed at the school that your child will attend. Medical exemptions must be obtained from your child’s doctor.

Medical exemption form found here.

Religious exemption form found here. 

 


— IDAHO

Idaho has vaccine exemptions for medical, philosophical and religious reasons.

A medical exemption must be completed by a licensed physician. It is recommended that exemptions for religious or other reasons be documented on the form provided by the Idaho Department of Health and Welfare, Immunization Program. Parents or guardians may also claim an immunization exemption by providing a signed written statement when entering their child into school and/or childcare.

Click here for the school exemption form.


— ILLINOIS

Illinois has vaccine exemptions for medical and religious reasons.

Click here for religious exemption form.

Click here for a medical exemption template.


— INDIANA

Indiana has vaccine exemptions for medical and religious reasons.

A school child may not be required to undergo any immunization when the child’s parent objects on religious grounds.  A religious objection must be (1) made in writing, (2) signed by the child’s parent, and (3) delivered to the child’s teacher or to the individual who might order an immunization.

Only a licensed physician (M.D. or D.O.) can provide a medical exemption. A nurse practitioner or a physician assistant under a physician’s supervision can also give a medical exemption. Click here for medical exemption form.

A religious objection must state that the objection to immunization is based on religious grounds. The objection must be in writing, be signed by the child’s parent, and delivered to the school. The religious objection must state there is a religious objection to vaccination and must specify the vaccine(s) the parent is refusing. There is no requirement of proof. To ensure the continued religious objection status for a student, schools must require written documentation of the religious objection each school year. When a valid religious exemption is received by the school, the school nurse must document this exemption in CHIRP.

Medical exemption form found here.

Religious exemption form found here. 

 


— IOWA

Iowa has vaccine exemptions for medical and religious reasons.

Click here for medical exemption form. Click here for religious exemption form.


— KANSAS

Kansas has vaccine exemptions for medical and religious reasons.

Submit a written statement signed by a parent that the parent is an adherent of a religious denomination whose teachings are opposed to immunizations.

Click here for medical exemption form.


— KENTUCKY

Kentucky has vaccine exemptions for medical and religious reasons.

Any forms relating to exemption from immunization requirements shall be available at public or private primary or secondary schools, preschool programs, day-care centers, certified family child-care homes, or other licensed facilities which care for children.

A child with a medical contraindication to receiving a vaccine may obtain, from the child’s healthcare provider, a “Certificate of Medical Exemption” from the requirements of Section 2 of this administrative regulation, in compliance with KRS 214.036.

A healthcare provider, pharmacist, local health department, or other licensed healthcare facility administering immunizations, shall, upon receipt of a written sworn statement from the parent or guardian of a child, issue a “Certificate of Religious Exemption” from the requirements of Section 2 of this administrative regulation, in compliance with KRS 214.036.

Medical exemption form found here.

Religious exemption form found here. 

 


— LOUISIANA

Louisiana has vaccine exemptions for medical, philosophical and religious reasons.

The child’s parent or guardian may request an exemption in writing for medical or religious/philosophical reasons. The parent or guardian simply provides their child’s name, date of birth and states their decision to exempt their child from the school vaccination requirements, and files this with the day care operator or school principal each year. Medical exemptions are completed by the child’s healthcare provider. There is no requirement for the document to be notarized, and all requests are granted.

Click here for exemption form.


— MAINE

Maine has vaccine exemptions for medical, philosophical and religious reasons.

MEDICAL EXEMPTION. The parent or the child provides a physician’s written statement that immunization against one or more of the diseases may be medically inadvisable.
PHILOSOPHICAL OR RELIGIOUS EXEMPTION. The parent states in writing a sincere religious belief that is contrary to the immunization requirement of this subchapter or an opposition to the immunization for philosophical reasons.

Exceptions to proof of immunity. No child shall be required under this rule to have any such immunization if his/her parent(s) states in writing a sincere religious or philosophical belief that it is contrary to the immunization requirements of this rule or if the child’s physician submits documentation that immunization against one or more of the diseases is medically inadvisable. A written statement must be included in the record of any child for whom such an exemption is being claimed. In the event of a disease outbreak, children not vaccinated for religious, philosophical, or medical reasons must be excluded from the program until the outbreak no longer exists, or until the child receives the necessary immunization.

Click here for the immunization non-participation form.


— MARYLAND

Maryland has vaccine exemptions for medical and religious reasons.

In general. — Unless the Secretary declares an emergency or disease epidemic, the Department may not require the immunization of an individual if:
— The individual objects to immunization because it conflicts with the individual’s bona fide religious beliefs and practices; or
— The individual is a minor and the individual’s parent or guardian objects to immunization because it conflicts with the parent or guardian’s bona fide religious beliefs and practices.

Exemption information here.


— MASSACHUSETTS

Massachusetts has vaccine exemptions for medical and religious reasons.

Medical exemptions come from the student’s doctor and document a contraindication, which is a reason why an individual cannot medically receive the vaccine. Religious exemptions come from the parent/guardian and state in writing that a vaccine conflicts with his/her sincerely held religious belief.

Click here for more on exemptions.


— MICHIGAN

Michigan has vaccine exemptions for medical, philosophical and religious reasons.

As of Jan. 1, 2015, vaccine education administered and certified (signature on waiver) by local health department  is required before the waiver (exemption) will be granted.

A parent or guardian holds a religious or philosophical (“other”) belief whichprecludes receipt of a vaccination(s). These are the nonmedical exemptions and require certification at the local health department. All nonmedical waivers can be obtained from the local health department. Parent should contact the local health department to set up an appointment to receive the needed education on the risks of not receiving a vaccine and to obtain a signed waiver. Schools should no longer accept a waiver that has not been certified by staff at a local health department.

Click here for medical exemption form.


— MINNESOTA

Minnesota has vaccine exemptions for medical, philosophical and religious reasons.

Medical Exemption
If an immunization is medically contraindicated for a child, or if there is laboratory confirmation that a child is already immune to certain diseases against which immunization is normally required, the student may submit a statement to this effect, signed by a health care provider, in order to be considered exempt from the contraindicated or unnecessary immunization.

Elective Exemption
If a child’s parent or guardian, or the child (in the case of an emancipated minor), wishes to be exempt, based on their beliefs, from one or more immunization requirements, the parent or child may submit a statement to this effect, signed by the submitting person and notarized

Click here for a list of places in Minnesota where exemption forms can be notarized.

Record your child’s exemptions on this form for your child’s school.

Record your child’s exemptions on this form for chid care.


— MISSISSIPPI

Mississippi has vaccine exemptions for medical reasons.

To request a medical exemption from one or more required vaccinations, the MSDH Medical Exemption Request (Form 139) must be completed and signed by the child’s pediatrician, family physician, or internist who is duly licensed in Mississippi. Children receiving specialized or tertiary care outside of the state may have medical exemption requests completed and signed by their tertiary care physician.

Click here for a medical exemption request.


— MISSOURI

Missouri has vaccine exemptions for medical and religious reasons.

A child in a day care program shall be exempt from immunization requirements if the child’s parent or guardian files a written objection to immunization with the day care administrator.  Exemptions shall be accepted by the day care administrator when the necessary information as determined by the department of health and senior services is filed with the day care administrator by the parent or guardian.  Exemption forms shall be provided by the department of health and senior services.

Click here for medical exemption form.

Click here for religious exemption form.


— MONTANA

Montana has vaccine exemptions for medical and religious reasons.

Religious exemption for child care applies only to Haemophilus influenzae type b (Hib).

Click here for medical exemption form.


— NEBRASKA

Nebraska has vaccine exemptions for medical and religious reasons.

Exemptions to the vaccination requirement include:
A statement signed by a physician that the required immunization would be injurious to the student or members of the student’s family or household.Refusal of Immunization for Medical Reasons
An affidavit signed by a legally authorized representative stating that the immunization conflicts with the tenets and practices of a recognized religious denomination of which the student is a member.
Click here for medical exemption form.
Click here for religious exemption form.

— NEVADA

Nevada has vaccine exemptions for medical and religious reasons.

A public school shall not refuse to enroll a child as a pupil because the child has not been immunized pursuant to NRS 392.435 if the parents or guardian of the child has submitted to the board of trustees of the school district or the governing body of a charter school in which the child has been accepted for enrollment a written statement indicating that their religious belief prohibits immunization of such child or ward.

If the medical condition of a child will not permit him to be immunized to the extent required by NRS 392.435 and a written statement of this fact is signed by a licensed physician and by the parents or guardian of the child, the board of trustees of the school district or governing body of the charter school in which the child has been accepted for enrollment shall exempt the child from all or part of the provisions of NRS 392.435, as the case may be, for enrollment purposes.

Medical exemption form found here.

Religious exemption form found here. 

 


— NEW HAMPSHIRE

New Hampshire has vaccine exemptions for medical and religious reasons.

To receive an exemption of immunization for medical reasons, the parent or legal guardian of the child must acquire written documentation from a licensed physician or authorized health care provider that certifies that immunization against a particular disease may be detrimental to the child’s health. The exemption shall exist only for the length of time, in the opinion of the physician; such immunization would be detrimental to the child. An exemption from immunization for one disease shall not affect other required immunizations.

Religious exemptions can be granted when a parent or legal guardian objects to immunization because of religious beliefs. The parent or legal guardian shall sign a notarized form stating that the child has not been immunized because of religious beliefs.

Click here for religious exemption form.

Click here for medical exemption template.


— NEW JERSEY

New Jersey has vaccine exemptions for medical and religious reasons.

A written statement should be submitted by the student, or the student’s parent or guardian if the student is a minor, stating that “immunization interferes with the free exercise of the pupil’s religious rights”.

For medical exemptions a written statement shall be submitted to the school, preschool, or child care center from a physician licensed to practice medicine or osteopathy or an advanced practice nurse (certified registered nurse practitioner or clinical nurse specialist) indicating that an immunization is medically contraindicated for a specific period of time, and the reason(s) for the medical contraindication, based upon valid medical reasons as enumerated by the Advisory Committee on Immunization Practices (ACIP) or the American Academy of Pediatrics (AAP) guidelines.

Medical exemption form found here.

Religious exemption form found here. 

 


— NEW MEXICO

New Mexico has vaccine exemptions for medical and religious reasons.

If there is a medical reason for exempting, a signed medical exemption must be obtained from a duly-licensed physician attesting that the required immunization(s) would endanger the life of the child.

If there is a religious reason for exempting, the child’s parent/guardian must ask an officer of the church to write a letter on your behalf stating that you are a member of the church, and the church uses prayer or spiritual means alone for healing; or if access to a church officer is not possible, then the child’s parent/guardian must complete the Certificate of Exemption Form.

Click here for exemption form.


— NEW YORK

New York has vaccine exemptions for medical and religious reasons.

Medical Exemption. If a physician licensed to practice medicine in New York State certifies that an immunization is detrimental to a child’s health, the requirement for that immunization is waived until such immunization is no longer detrimental to the child’s health.

Religious Exemption. If a parent(s) or guardian(s) of a child holds genuine and sincere religious beliefs which are contrary to school entry immunization requirements, the immunization requirements are not required for the child to attend school.

Click here for medical exemption form.

Click here for religious exemption form.


— NORTH CAROLINA

North Carolina has vaccine exemptions for medical and religious reasons.

The Commission for Health Services shall adopt by rule medical contraindications to immunizations required by G.S. 130A-152. If a physician licensed to practice medicine in this State certifies that a required immunization is or may be detrimental to a person’s health due to the presence of one of the contraindications adopted by the Commission, the person is not required to receive the specified immunization as long as the contraindication persists. The State Health Director may, upon request by a physician licensed to practice medicine in this State, grant a medical exemption to a required immunization for a contraindication not on the list adopted by the Commission.

Medical exemptions can only be requested by a physician licensed to practice medicine in North Carolina. If a physician determines the need to request a medical exemption from a required immunization for a patient and needs assistance, they should contact the North Carolina Immunization Branch at (919) 707-5550.

If the bona fide religious beliefs of an adult or the parent, guardian or person in loco parentis of a child are contrary to the immunization requirements contained in this Part, the adult or the child shall be exempt from the requirements. Upon submission of a written statement of the bona fide religious beliefs and opposition to the immunization requirements, the person may attend the college, university, school or facility without presenting a certificate of immunization.

There is no form for requesting religious exemptions in North Carolina. To claim a religious exemption, the parent or person requesting the exemption must write a statement of their religious objection to immunization, including the name and date of birth of the person for whom the exemption is being requested. This statement would then be provided to schools, child care programs, camps, etc. in place of an immunization record. If a family is requesting a religious exemption for more than one child, a separate statement should be prepared for each child. Statements of religious objection to immunization do not need to be notarized, signed by a religious leader, or prepared by an attorney. They do not need to be submitted to the state for review or approval.

Click here for physicians request for medical exemption.

Click here for medical exemption.


— NORTH DAKOTA

North Dakota has vaccine exemptions for medical, philosophical and religious reasons.

Any minor child, through the child’s parent or guardian, may submit to the institution authorities either a certificate from a licensed physician stating that the physical condition of the child is such that immunization would endanger the life or health of the child or a certificate signed by the child’s parent or guardian whose religious, philosophical, or moral beliefs are opposed to such immunization. The minor child is then exempt from the provisions of this section.

Click here for exemption form.


— OHIO

Ohio has vaccine exemptions for medical, philosophical and religious reasons.

A pupil who has had natural rubeola/mumps/chickenpox and presents a signed statement from the pupil’s parent, guardian, or physician to that effect, is not required to be immunized against rubeola, mumps/chickenpox.

A pupil who presents a written statement of the pupil’s parent or guardian in which the parent or guardian declines to have the pupil immunized for reasons of conscience, including religious convictions, is not required to be immunized.

A child whose physician certifies in writing that such immunization against any disease is medically contraindicated is not required to be immunized against that disease.

Medical exemption form found here.

Religious exemption form found here. 

 


— OKLAHOMA

Oklahoma has vaccine exemptions for medical, philosophical and religious reasons.

Complete the exemption certificate (below) and take it to the school.  Please note: Exemption certificates that are not properly completed or have missing information will not be approved and will be returned to the school for the parent to correct or complete.

County health departments and private doctors do not have exemption certificates.

Parents are not required nor should they come to the Oklahoma State Department of Health to obtain an exemption certificate.

Click here for exemption form.


— OREGON

Oregon has vaccine exemptions for medical, philosophical and religious reasons.

There are two ways to claim a nonmedical exemption.

1. Watch the Vaccine Education Module for children in child care, preschool, or K-12 and print out the Vaccine Education Certificate at the end of the module. Fill out the nonmedical exemption section of the Certificate of Immunization Status form (pdf). Turn in both forms to your child’s school or child care.

2. Talk to a health care provider and have the practitioner sign a Vaccine Education Certificate. After talking with your health care provider, s/he can give you a signed Vaccine Education Certificate. Fill out the nonmedical exemption section of the Certificate of Immunization Status form (pdf). Turn in both forms to your child’s school or child care.

Click here for exemption form.

Click here for medical exemption review summary.


— PENNSLYVANIA

Pennslyvania has vaccine exemptions for medical, philosophical and religious reasons.

Medical exemption. Children need not be immunized if a physician or the physician’s designee provides a written statement that immunization may be detrimental to the health of the child. When the physician determines that immunization is no longer detrimental to the health of the child, the child shall be immunized according to this subchapter.

Religious exemption. Children need not be immunized if the parent, guardian or emancipated child objects in writing to the immunization on religious grounds or on the basis of a strong moral or ethical conviction similar to a religious belief.

Medical exemption form found here.

Religious exemption form found here. 

 

— RHODE ISLAND

Rhode Island has vaccine exemptions for medical and religious reasons.

Students and children in child care (day care) and pre-kindergarten facilities can be exempted from required immunizations for religious, medical, or temporary reasons. A medical exemption certificate must be signed by a medical provider.

Click here for religious exemption form.

Click here for medical exemption form.

Click here for temporary exemption form.


— SOUTH CAROLINA

South Carolina has vaccine exemptions for medical and religious reasons.

A religious exemption may be granted to any student whose parents, parent, guardian, or person in loco parentis signs and has notarized the appropriate section (Statement of Religious Objection) of the South Carolina Certificate of Religious Exemption. The South Carolina Certificate of Religious Exemption may only be obtained at a county public health department. Forms cannot be e-mailed or mailed.

South Carolina state law recognizes exemptions to immunization for medical contraindications as determined by a licensed health care provider. Only an individual licensed to practice medicine, surgery, or osteopathy or his/her representative may issue a certificate of medical exemption to immunization. There is one DHEC form, The South Carolina Certificate of Immunization, that meets both the certification and the medical exemption regulations (SC Regulation 61-8).

A special exemption, signed by the school principal or his/her authorized representative, may be issued to transfer students while awaiting arrival of medical records from their former area of residence or to other students who have been unable to secure immunizations or documentation of immunizations already received. A South Carolina Certificate of Special Exemption may be issued only once and is valid for only thirty (30) days. At the expiration of this special exemption, the student must present a valid South Carolina Certificate of Immunization or a valid South Carolina Certificate of Religious Exemption.

Click here for religious exemption form.

Click here for medical exemption template.


— SOUTH DAKOTA

South Dakota has vaccine exemptions for medical and religious reasons.

Submit a written statement signed by one parent or guardian that the child is an adherent to a religious doctrine whose teachings are opposed to such immunization.

Click here for exemption form.


— TENNESSEE

Tennessee has vaccine exemptions for medical and religious reasons.

Medical – Physicians (MD or DO) or Public Health Nurses are authorized to indicate specific vaccines medically exempted (because of risk of harm) on the certificate. Other vaccines remain required. The medical reason for the exemption does not need to be provided.

Religious – This exemption requires a signed statement by the parent/guardian that vaccination conflicts with their religious tenets or practices. If the child needs documentation of a health examination for the school, it must be noted by the healthcare provider on the immunization certificate.  In that case, the provider should check the box in section 1a. that the parent has sought a religious exemption to explain why immunization information is absent or incomplete.

Click here for medical exemption template.


— TEXAS

Texas has vaccine exemptions for medical, philosophical and religious reasons.

A signed affidavit must be presented by the child’s parent or legal guardian, stating that the child’s parent or legal guardian declines vaccinations for reasons of conscience, including because of the person’s religious beliefs. The affidavit will be valid for a two-year period. The child, who has not received the required immunizations for reasons of conscience, including religious beliefs, may be excluded from school in times of emergency or epidemic declared by the commissioner of public health.  Medical exemptions are allowed as are exemptions for active duty members of the United States armed forces.

Click here for exemption request.

Click here for medical exemption template.


— UTAH

Utah has vaccine exemptions for medical, philosophical and religious reasons.

A student qualifies for a medical exemption from a vaccination required under Section 53G-9-305 if the student’s legally responsible individual provides to the student’s school: a completed vaccination exemption form; and a written notice signed by a licensed health care provider stating that, due to the physical condition of the student, administration of the vaccine would endanger the student’s life or health.

A student qualifies for a personal exemption from a vaccination required under Section 53G-9-305 if the student’s legally responsible individual provides to the student’s school a completed vaccination exemption form, stating that the student is exempt from the vaccination because of a personal or religious belief.

To receive a vaccination exemption form, The legally responsible individual who claims the exemption for the student must complete the online immunization education module. To access the online immunization education module, click here. If the legally responsible individual who claims the exemption for the student declines to take the online education module, he/she can obtain a vaccination exemption form from a local health department and receive an in-person consultation.

Medical exemption form found here.

Religious exemption form found here. 


— VERMONT

Vermont has vaccine exemptions for medical and religious reasons.

The person or parent/guardian “signing the exemption must also acknowledge the following” (1) “they have read and understood evidence‐based information regarding immunizations as provided by the Vermont Department of Health”, (2) “they understand that failure to complete the required vaccination schedule increases risk to the child and others of contracting or carrying a vaccine-preventable infectious disease”, and (3) “they understand that there are people with special health needs attending schools and child care facilities who are unable to be vaccinated or who are at heightened risk of contracting a vaccine‐preventable communicable disease and for whom such a disease could be life‐threatening.”

Click here for medical exemption form.

Click here for religious exemption form.

Click here for parent education form (required for religious exemption)


— VIRGINIA

Virginia has vaccine exemptions for medical and religious reasons.

Religious and medical exemptions. No certificate of immunization shall be required of any student for admission to school if:

1. The student or his parent or guardian submits a notarized Certificate of Religious Exemption (Form CRE 1), to the admitting official of the school to which the student is seeking admission. Form CRE 1 is an affidavit stating that the administration of immunizing agents conflicts with the student’s religious tenets or practices. The form is available on the Division of Immunization website at http://www.vdh.virginia.gov//Epidemiology/Immunization/requirements.htm; or

2. The school has written certification on either of the documents specified under “documentary proof” in 12VAC5-110-10 from a physician, registered nurse, or a local health department that one or more of the required immunizations may be detrimental to the student’s health. Such certification of medical exemption shall specify the nature and probable duration of the medical condition or circumstance that contraindicates immunization.

3. Demonstration of existing immunity. The demonstration in a student of antibodies against mumps, measles, rubella, or varicella in sufficient quantity to ensure protection of that student against that disease, shall render that student exempt from the immunization requirements contained in 12VAC5-110-70 for the disease in question. Such protection should be demonstrated by means of a serological testing method appropriate for measuring protective antibodies against mumps, measles, rubella, or varicella respectively. Reliable history of chickenpox disease diagnosed or verified by a health care provider shall render students exempt from varicella requirements.

4. HPV vaccine. Because the human papillomavirus is not communicable in a school setting, a parent or guardian, at the parent’s or guardian’s sole discretion, may elect for the parent’s or guardian’s child not to receive the HPV vaccine, after having reviewed materials describing the link between the human papillomavirus and cervical cancer approved for such use by the board.

Click here for religious exemption form.

Click here for medical exemption form.


— WASHINGTON

Washington has vaccine exemptions for medical, philosophical and religious reasons.

A child shall be exempt in whole or in part from immunization requirements upon the presentation of any one or more of the following certifications on a form prescribed by the department of health: (1) a written certification signed by any parent or legal guardian of the child or any adult in loco parentis to the child that the religious beliefs of the signator are contrary to the required immunization measures, or (2) a written certification signed by any parent or legal guardian of the child or any adult in loco parentis to the child that the signator has either a philosophical or personal objection to the immunization of the child.  The form must include a statement to be signed by a health care practitioner stating that he or she provided the signator with information about the benefits and risks of immunization to the child.  Any parent or legal guardian of the child or any adult in loco parentis to the child who exempts the child due to religious beliefs is not required to have the form signed by a health care practitioner if the parent or legal guardian demonstrates membership in a religious body or a church in which the religious beliefs or teachings of the church preclude a health care practitioner from providing medical treatment to the child.

Click here for FAQ on exemptions.

Click here for exemption form.


— WEST VIRGINIA

West Virginia has vaccine exemptions for medical reasons.

To obtain a medical exemption a parent or guardian may use the form here to request the child’s physician submit a Request for Medical Exemption from Compulsory Immunization to the Bureau for Public Health’s Immunization Officer on behalf of the child.

The child’s physician can then submit the form which is available here or through the West Virginia Statewide Immunization Information System (WVSIIS). The Request for Medical Exemption from Compulsory Immunization must be completed and submitted by a physician licensed to practice medicine that has treated or examined the child to the State Immunization Officer, a physician licensed to practice medicine in West Virginia and employed by the State Bureau for Public Health.

The physician’s request for exemption from immunization(s) shall state specifically which vaccine or vaccines the child should be exempt from receiving, an explanation of the medical contraindication or precaution relied upon to make the request, and whether the reason for the exemption is permanent or temporary. The physician must provide medical evidence showing that an exemption is necessary. If the medical exemption is temporary, the request shall also provide the future date or time when the exemption should be reevaluated. Requests for temporary medical exemptions may not exceed 24 months from the time of the requested medical exemption.

More on medical exemptions here. 

Click here for medical exemption request.


— WISCONSIN

Wisconsin has vaccine exemptions for medical, philosophical and religious reasons.

The immunization requirement is waived if the student, if an adult, or the student’s parent, guardian, or legal custodian submits a written statement to the school, child care center, or nursery school objecting to the immunization for reasons of health, religion, or personal conviction.  At the time any school, child care center, or nursery school notifies a student, parent, guardian, or legal custodian of the immunization requirements, it shall inform the person in writing of the person’s right to a waiver.

Click here for immunization record (includes exemption form).


— WYOMING

To apply for an waiver, complete the appropriate Waiver Request form. The Form must be completed in its entirety and must contain original signatures; photocopies and faxes are not accepted. Waiver requests may be approved by either the State Health Officer or your local County Health Officer.

Submit requests to:

  • Your local County Health Officer (click here for locations), or
  • The State Health Officer at Wyoming Department of Health, 6101 Yellowstone Road, Suite 420, Cheyenne, WY 82002, Attn: Immunization Exemptions.

Click here for medical exemption form.

Click here for religious exemption form.

More information on immunization waivers here. 

**State requirement information taken from National Vaccine Information Centre**

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