Massachusetts immunization religious exemption form. 036 requires parents who object to immunization of .

Massachusetts immunization religious exemption form - 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 [Chapter 130A, Article 6, Part B], the adult or the child shall be exempt from the requirements. lude the details requested below. Jul 5, 2025 · But unvaccinated students without medical reasons to forgo the shots can still get a pass to attend class in Massachusetts: a religious exemption. Massachusetts students must provide documentation of immunizations according to school requirements. Religious Exemption This exemption is issued by a county health department and based on established religious beliefs or practices. View the Immunization Religious Exemption Form in our collection of PDFs. Jun 6, 2025 · Massachusetts has had one of the highest vaccine rates in the country. 4, Immunization of Pupils in School, Medical and Religious Exemptions. It allows parents or legal guardians to exempt their child from vaccinations required for school entry due to religious beliefs. Apr 5, 2024 · Explore sample religious exemption letters for COVID-19 vaccine mandates. 1 State laws also offer exemptions to school vaccination requirements, including medical, religious, and MEDICAL OR RELIGIOUS VACCINE EXEMPTION In accordance with the Massachusetts College Immunization Law (Massachusetts Department of Public Health, 105 CMR 220) and University policy, students are required to provide verification of immunity against certain illness. The other side: Several groups plan to testify in person and virtually against the bills Personal Beliefs Exemption Form Kindergarten – 12th Grade Only Arizona Department of Health Services (ADHS) strongly supports immunization as one of the easiest and most effective tools in preventing diseases that can cause serious illness and even death. By signing this certificate, you are attesting that the immunization Oct 20, 2021 · Hundreds of Massachusetts employees and contractors are seeking exemptions from the state’s COVID-19 vaccine mandate. This Form and other related documentation will be treated confidentially and kept separate from your personnel file. Parent/Guardian Declaration One or more of the required vaccines are in conflict with my personal, philosophical, or religious beliefs. gov Religious Exemption from Immunization Requirements Chelmsford Public Schools Philosophical exemptions are not allowed by law in Massachusetts, even if signed by a physician. 19, 2020, 6:00 a. pdf (Spanish) Oct 22, 2021 · Massachusetts Department of Public Health Guidance on COVID Exemptions: Practitioners (Advance Practice Registered Nurses, Physician Assistants) who grant vaccination or mask exemptions must have a provider-patient relationship with the person who is the subject of the exemption and a legitimate medical reason supporting an exemption. __ Religious Exemption I certify that the receipt of a vaccine would conflict with or violate my sincere religious beliefs. 3 and N. Form DH 681, Religious Exemption From Immunization, is issued if immunizations are in conflict with the religious tenets and practices of the child's parent or guardian. Here’s what the Massachusetts bills would do The bills that threaten religious exemptions — House bill 2554 and Senate bill 1557 — have different titles but identical text. Religious Immunization Exemption Certificate For Use in Public and Private Daycare, Preschool, School & College Feb 19, 2019 · Tennessee-Religious-Immunization-Exemption-Form Posted by Jacob Murphy Date February 19, 2019 The New Jersey Department of Health (Department) has received numerous inquiries regarding N. As the parent/guardian of _________________________, I request that this minor be exempt from the vaccination and immunization requirements on religious grounds in accordance with Massachusetts General Law, Chapter 76, Section 15. Please describe the accommodation you are seeking. But there seems to be greater awareness among the unvaccinated that claiming a “religious exemption" may provide a legal pathway for them to avoid Massachusetts Department of Public Health – Immunization DivisionSeptember 2025 Page 2 Immunization Exemptions and Vaccine Preventable Disease Exclusion in School Settings Definition of Allowable Exemptions Jul 26, 2023 · In vaccine debate, lawmakers target religious exemption Under current state laws, parents and guardians can request a religious exemption -- though there's no official form -- by stating in writing that a "vaccine conflicts with the individual’s sincerely held religious belief. Medical and Religious Exemption Requests Students attending UMass Boston may request an exemption from any immunization requirement, subject to religious and disability accommodations pursuant to state and federal law. As a parent or guardian having responsibility for _______________ a minor (under age 18) enrolled in Quinsigamond Community College, I request that said minor be exempt from the Massachusetts vaccination and immunization requirements based on: BRIDGEWATER STATE UNIVERSITY CERTIFICATE OF RELIGIOUS EXEMPTION FOR REQUIRED IMMUNIZATIONS FORM ADULT INDIVIDUAL- COMPLETE THIS SECTION NOTE: This form is required for all students entering the university when the adult individual is requesting a religious exemption on or after April 26, 2021. Effective Spring 2021, Mount Holyoke College requires that all students, absent a medical or religious exemption, be vaccinated for Covid-19 with an FDA-EUA or World Health I understand that, notwithstanding my religious objections, my child may be excluded from child care facilities or schools during an epidemic or threatened epidemic of any disease preventable by a vaccination required by the Georgia Department of Public Health, and that my child may be required to receive a vaccination in the event that such a The Tennessee Exemption Vaccination form is a legal document provided by the Tennessee Department of Education. Massachusetts Law does not allow for philosophical exemptions, even if signed by a physician. Jul 15, 2025 · Medical Exemptions To opt out of any immunizations you must complete a Medical or Religious Exemption form through the Magnus Health portal. 2) a religious exemption is allowed if a parent or guardian submits a written statement that immunizations conflict with their sincere religious beliefs. This exemption will be maintained by the school as part of the immunization record of the pupil. Such certification of medical exemption shall specify the nature and probable duration of the medical condition or circumstance that contraindicates immunization. Medical Reasons For some groups of people, vaccines will hurt Meningococcal vaccine requirements (see Grades 7-10 and 11-12) also apply to residential students in Grades Pre-K through 8 if the school combines these grades in the same school as students in Grades 9-12. Colleges:Massachusetts requires all newly enrolled full-time students 21 years of age and under attending a postsecondary institution (e. Parent or Guardian’s Declination on Religious Grounds to Required Immunizations The Centers for Disease Control and Prevention (CDC) and Kentucky Department for Public Health (KDPH) recognize immunization as one of the most effective tools in preventing disease and reducing the risks associated with exposure to certain diseases. If religious exemptions are taken away in Massachusetts, the state would join a small handful of states that deny parents the right to object to school vaccine requirements on the basis of sincerely held beliefs. This should be renewed annually at the start of the school year. The one-page form requires the child's name, parent/guardian's name and address. A person who has been exempted from a vaccination is considered susceptible to the disease or diseases for which the vaccination offers protection. Navigating the process of writing a religious exemption letter can be daunting, especially when it's for something as significant as a COVID-19 vaccine. ADHS also respects the rights of parents to decide whether or not to vaccinate their child. Medical and religious exemptions may be accepted at the discretion of clinical sites. Mass. C. Sign, print, and download this PDF at PrintFriendly. The written statement requesting religious exemption and signed waiver form must be submitted by July 15 for the fall semester or January 15 for spring semester. 600), students must have documentation of required vaccines , or proof of immunity through antibody blood titers. Religious Exemption - if there are religious reasons why your student has not had a physical exam and/or has not been immunized, a Religious Exemption form must be provided to the school nurse, signed by the student’s parent/guardian and attest that the immunization (s) are against one's sincerely-held religious beliefs. Apr 15, 2025 · Why do vaccine exemptions exist? In 1855, Massachusetts became the first state to require children to get vaccinated to attend school. These vaccination laws often apply not only to children attending public schools, but also to those attending private, parochial, and other types of schools. 000) that every child be fully immunized or have proof of immunity, unless there is a medical or religious exemption on file for the student. According to Edwards, the measure would eliminate religious exemptions for school-required vaccines, leaving only medical exemptions. In order to claim a medical exemption this form needs to be completed, signed by a health care provider authorized to prescribe Massachusetts law does not allow for philosophical exemptions, even if they are signed by a physician. Under the Massachusetts General Laws, there are provisions for exemptions based on medical and religious grounds. These objections can reflect broader concerns about bodily autonomy and moral considerations. The consequences of my refusal to be vaccinated could have life-threatening consequences for my health and the health of everyone with whom I have contact, including my coworkers and all patients in this healthcare facility. ContentsAdult Rights: Your Body, Your ChoiceWhen Children’s Lives Hang in the BalanceReligious Beliefs That Drive Medical RefusalPhysician Ethics and Conscience RightsVaccine Exemptions: Where Individual Rights Meet Public HealthThe Ongoing Balance Between Faith and A religious exemption is allowed if a parent or guardian provides a written statement that immunizations conflict with their sincere religious beliefs. Jun 29, 2025 · Religious exemptions have risen over decades in Massachusetts. Medical exemptions (statement from a physician stating that a vaccine is medically contraindicated for a student) must be renewed annually at the start of the school year and religious MEDICAL EXEMPTIONS: The school must have written certification from a physician or a local health department on FORM MCH 213 F that one or more of the required immunizations may be detrimental to the student’s health. This person may be subject to exclusion from school, group facilities or Vaccines were created to boost an individual’s immune systems and protect them from future forms of viruses. missouri state immunization law (section 167. ” 5 days ago · In the absence of an emergency or epidemic of disease declared by the department of public health, no child whose parent or guardian states in writing that vaccination or immunization conflicts with his sincere religious beliefs shall be required to present said physician's certificate in order to be admitted to school. 1. Religious-exemption-form-Florida “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). Dec 14, 2024 · Massachusetts lawmakers were in the process of advancing a bill that would eliminate religious vaccination exemptions for school kids. Medical exemptions come from the student’s doctor and document a contraindication, which is a reason why an individual cannot medically receive the vaccine. Jul 19, 2023 · State of play: K-12 students in Massachusetts are required to be immunized against diphtheria, tetanus, whooping cough, polio, measles, mumps, rubella, hepatitis B, and chickenpox. 00/1992) School Entrance Health Form, Health Information Form/Comprehensive Physical Examination Report/Certification of Immunization, MCH 213G (rev. Sep 11, 2023 · A philosophical/personal exemption may not be used to exempt a child from the measles, mumps or rubella (MMR) vaccine requirements (effective July 28, 2019). Massachusetts students must provide documentation of immunization according to school requirements, or request a medical or religious exemption. Please check the boxes below regarding all vaccine-preventable diseases for which an exemption is claimed. Jan 19, 2025 · Explore the criteria and application process for religious exemptions in Massachusetts, including legal implications and key considerations. Users should fill in personal information, such as their Nov 1, 2024 · The form asked [Claimant] to describe the religious principle that guide your objection to immunization. 4 days ago · Organizations provide their own religious exemption request forms. May 27, 2024 · Quick Facts and Resources for Massachusetts Residents Quick Fact: No child whose parent or guardian states in writing that vaccination or immunization conflicts with his sincere religious beliefs shall be required to present an immunization certificate in order to be admitted to school. Jul 7, 2021 · While the Catholic Church does not prohibit the use of any vaccine, and generally encourages the use of safe and effective vaccines as a way of safeguarding personal and public health, the following authoritative Church teachings demonstrate the principled religious basis on which a Catholic may determine that he or she ought to refuse certain A Religious Immunization Exemption form can be obtained for printing by clicking the button below. Documentation may be required to support the request. However, despite some laws requiring the act, some people can become exempt from receiving vaccines. Massachusetts State Law requires that incoming students provide proof of immunizations for all full-time undergraduate and graduate students. This is a Religious Exemption. INSTRUCTIONS FOR COMPLETING THE CERTIFICATE OF EXEMPTION Oklahoma law requires that parents of all children attending School, Child Care Facilities, and Head Start in this state submit documentation of immunization. Only medical and faith-based/religious exemptions are acceptable. 000). 15 and 15c and 105 CMR 220. For legal help regarding vaccine religious exemptions, visit Liberty Counsel’s website here. Students may only be eligible for exclusion from this requirement under a medical or religious exemption. 76, § 15) requires proof of immunization and/or immunity to vaccine-preventable diseases of all students. I am writing on behalf of who attends this church, either online, in person, or both. Georgia School Exemptions Georgia law allows for two types of exemptions from the immunization requirements: medical and religious. Medical exemptions that bypass immunization have fallen in the state. Aug 29, 2023 · “This exemption has been part of the [Massachusetts] vaccine statute for decades,” the Family Institute argues. The Sample Religious Exemption Letter for School in Massachusetts is a customizable document intended for parents or guardians seeking a religious exemption for their child’s school vaccinations. VACCINATION EXEMPTION PURSUANT TO INDIANA CODE §20-34-3-2 Except as otherwise provided, a student may not be required to undergo any testing, examination, immunization, or treatment required under this chapter or IC 20-34-4 when the child's parent objects on religious grounds. It may be helpful to gather Required Immunization Religious Exemption Request and Waiver of Responsibility Massachusetts General Law (M. This documentation is required before the child is allowed to enter or attend School, Child Care or Head Start. 036 requires parents who object to immunization of Apr 21, 2025 · If religious exemptions are taken away in Massachusetts, the state would join a small handful of states that deny parents the right to object to school vaccine requirements on the basis of sincerely held beliefs. New Hampshire Vacunación en guarderías/escuelas Certificado de exención religiosa. Jul 26, 2023 · Health experts Wednesday praised bills that would nix the religion exemption for vaccinations as they warned about the rise of preventable diseases. pdf stating that the child has not been immunized because of religious beliefs. 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 strong moral or ethical conviction similar to religious belief. Children with medical or religious exemption to requirements Medical – Physician or health department authorized to indicate specific vaccines medically exempted (because of risk of harm) on the new form. Because of my bona fide religious beliefs and practices, I object to any vaccine(s) being given to my child. 3/2014) Student Immunization Status Report, Form SIS 3 (School) (rev. Massachusetts students must provide documentation of immunization, according to school requirements, or submit an approved medical or religious exemption. ) Religious Exemption. Please specify the religious or spiritual belief, practice, or observance that is the basis of your request for exemption from the University’s immunization requirement. PARENT OR LEGAL GUARDIAN - COMPLETE THIS SECTION Note: This form is required for all students entering kindergarten, sixth or ninth grades when parent(s) or legal guardian(s) is requesting a religious exemption on or after October 16, 2015. The Massachusetts Code of Regulations and Berklee require that all undergraduate and graduate students enrolled in programs at Berklee’s campus in Boston provide documentation that they have been immunized against the illnesses listed below before attending class. The certificate includes sections for student information, acknowledgment of understanding the The state form is available for download at the link provided below. Only medical and religious exemptions are acceptable. I understand that when a case of a vaccine Religious exemption is allowed if a student submits a written, signed, and dated statement that (an) immunization(s) conflict(s) with sincerely held religious beliefs. As a parent (or guardian) of ___________________________, a minor enrolled in the _______________ Public School system, I request that he/she be exempt from immunization requirements, in accordance with the provisions of Chapter 76, Section 15, General Laws of Massachusetts, because such requirements conflict with our sincere religious beliefs. Apr 23, 2025 · Moreover, the religious inquiry is the individual’s religious belief, not the belief of the individual’s religious community or affiliation. " In the case of a vaccine-preventable disease outbreak, all susceptible students, including those with medical or religious exemptions, will be excluded from school in accordance with the Massachusetts Department of Public Health guidelines, “Immunization Exemptions and Vaccine Preventable Disease Exclusion Guidelines in School Settings. Children with specific medical contraindications to any or all Who may use the Certificate of Religious Exemption to Required Immunizations and/or Examinations Form: Parents or legal guardians who are requesting a religious exemption to immunizations or examinations must use this form for students entering kindergarten, sixth, or ninth grades. According to state immunization data, vaccination A segment of our comprehensive guide to everything you need to know about how to implement an effective mandatory vaccination policy at your company and simple solutions for tracking requirements. However, there is a growing threat to the public’s community immunity — the misuse of "religious exemptions" in schools The document is a form from the Tennessee Department of Education allowing parents to claim a religious exemption for vaccinating their child. If a student is under age 18, their parent/guardian must ALSO MASSACHUSETTS IMMUNIZATION EXEMPTION REQUIREMENTS In the event of a disease outbreak, a child exempted from Massachusetts immunization requirements may be excluded from school for the duration of the outbreak, both for his/her own protection and for the protection of others. Religious exemption is allowed if a student submits a written, signed, and dated statement that (an) immunization(s) conflict(s) with sincerely held religious beliefs. Other vaccines remain required. Lawmakers held a legislative briefing at the State House on Tuesday about two bills that would remove the non-medical exemption from vaccine requirements as well as improve data collection on immunization rates in Jan 18, 2025 · The Massachusetts vaccine mandate acknowledges the necessity for exemptions and exceptions to accommodate individual circumstances. I affirm that the information on this form is complete and correct. The required immunizations are listed in the MCPHS Student Immunization Policy within the Student Handbook per academic school The parent or legal guardian shall sign the New Hampshire Childcare/School Immunization Religious Exemption form. The Community Immunity Act maintains religious exemptions. If they do not have a form to provide, a letter from the parent/guardian or the individual seeking an exemption can be used. It includes a statement that pursuant to Tennessee state law, the parent is declining vaccination(s) for their child because it conflicts with their religious tenets and A parent or guardian wishing to exempt their child from some or all vaccinations must provide a written statement indicating the religious objections to the vaccination(s). ADHS also respects the rights of parents who are raising their child in a religion whose teachings are in As a parent (or guardian) of the above named child, a minor enrolled in the public schools, I request that he/she be exempt from the immunization requirements in accordance with the provisions of Chapter 76, Section 15, General Laws of Massachusetts, because such requirements conflict with our sincere religious beliefs. G. Aug 30, 2021 · In this case, according to the EEOC, once an employer has been notified that an employee’s sincerely held religious belief, practice, or observance prevents them from getting a COVID-19 vaccine In situations when one or more cases of a vaccine-preventable or any other communicable disease are present in a school, all susceptibles, including those with medical or religious exemptions, are subject to exclusion as described in the Reportable Diseases and Isolation and Quarantine Requirements (105 CMR 300. Jul 23, 2017 · State School Immunization Requirements and Vaccine Exemption Laws State laws establish vaccination requirements for school children. Medical exemptions come from the student’s doctor and document a contraindication — the reason why an individual cannot medically receive the vaccine. If you may have immunization records in a U. Medical Exemptions: All 50 states allow medical exemptions to vaccination. religious exemption may be granted to an applicant only if immunization conflicts with a genuine and sincere religious belief. It ensures fairness in exemption policies for school-aged children in Massachusetts. May 14, 2025 · Understanding Vaccination Exemption Letters What Is a Vaccination Exemption Letter? A vaccination exemption letter is a formal document requesting an exemption from mandatory vaccination requirements for medical, religious, or personal belief reasons. . The document is a Religious Immunization Exemption Certificate from the Rhode Island Department of Health, designed for use in public and private educational institutions. I understand that if an outbreak of vaccine-preventable disease occurs for which my child is exempted, my child may be excluded from their school for the duration of the outbreak. I have been told if an outbreak of vaccine-preventable disease occurs for which my child is exempted, my child may be excluded from their school or child As such, I am requesting an exemption from this institution’s COVID-19 vaccine policy based on my personal, sincerely held religious, moral, and ethical beliefs. It outlines the understanding of potential exclusion from classes or residence halls during outbreaks of communicable diseases and acknowledges that Dean College is not liable for any tuition or fees if the signer must leave campus. Various religious groups have raised objections to the COVID vaccine for different reasons, including beliefs about the use of certain ingredients or the ethics surrounding vaccine development. “Parents should not have to choose between honoring their sincerely held religious beliefs and access to in-school education for their children. Do you guys sign religious exemption forms for vaccine refusal? I’m sure most states have their own version. This form also must be submitted to request religious exemption for any student enrolling to enter any public, charter, private or parochial preschool Aug 20, 2025 · ON THIS PAGE Medical exemption policy Requesting a medical exemption Religious exemption policy Requesting a religious exemption Questions and answers about religious exemptions Reports Board of Health statement on religious exemptions Medical Exemption Policy To request a medical exemption from one or more required vaccinations, the MSDH Medical Exemption Request (Form 139-M) must be In order to attend public school in Massachusetts, it is required by Massachusetts General Law (M. , college) to receive a dose of quadrivalent meningococcal conjugate vaccine on or after their 16th birthday to protect against serotypes A, C, W, and Y or fall within one of the exemptions in the law. What if I have a medical or religious exemption for general immunizations? If you believe you qualify for a medical or religious exemption, you can submit a request through our online form. Ensure you review the eligibility criteria to confirm that a religious exemption is applicable to your situation. Philosophical exemptions are not allowed by law in Massachusetts, even if signed by a physician. As a parent or guardian having responsibility for _______________ a minor (under age 18) enrolled in Quinsigamond Community College, I request that said minor be exempt from the Massachusetts vaccination and immunization requirements based on: Jan 17, 2018 · Despite vaccination requirements established by governmental entities, exemptions are often available on the basis of religious, personal, and philosophical beliefs, and an individual's medical history. J. L. There are three main reasons why someone can avoid vaccines: medical reasons, religious reasons, and personal reasons. This form outlines the necessity for a clear and respectful communication to school authorities, emphasizing the family's religious beliefs. The Act also standardizes and centralizes the process for obtaining a religious exemption from immunization requirements for covered programs, including: Standardized application forms: The Act Feb 19, 2015 · The parent or guardian shall sign a notarized Wyoming Department of Health Religious Exemption form stating that the administration of immunizing agents conflicts with his religious tenets and religious practices. In the state of Massachusetts, some of these immunizations are required in order for children to attend school (see MA School Immunization Requirements). To receive an exemption, students and parents or legal guardians, on behalf of their child, may download an affidavit form using the methods outlined below. This request is so I can attend in person classes with my fellow students and staff who have received the Covid-19 vaccination without my obtaining the required vaccination. 8:57-4. What Type of Immunization Exemptions are Available in South Carolina?Medical and religious exemptions are the only available immunization exemptions in South Carolina. Oct 16, 2025 · Exemptions Permitted for State Childcare and School (K–12) Immunization Requirements as of May 2025 View table as PDF An empty box in this table indicates a “NO” answer required parochial or under parish schools. MEDICAL OR RELIGIOUS VACCINE EXEMPTION In accordance with the Massachusetts College Immunization Law (Massachusetts Department of Public Health, 105 CMR 220) and University policy, students are required to provide verification of immunity against certain illness. More and more employers are mandating that their employees get a COVID-19 vaccination if they want to keep their jobs. My state has this form where the parent will write out their religious reason for refusing vaccines and the physician is supposed to sign the bottom, acknowledging that he/she provided education on the vaccines. Religious Exemption: To be used when the parent/guardian has a religious belief that is contrary to the required immunization. Immunization Exemption Request and Waiver of Responsibility School immunization requirements exist to protect students and members of their community from serious vaccine preventable diseases by ensuring high vaccination rates. ” As per General Laws of Massachusetts chapter 76, section 15C (Vaccination and Immunization; Exceptions by Reason of Physical Condition or Religious Belief) I am exempting myself from vaccination because it conflicts with my sincerely held religious belief. KRS 214. These exemptions mustbe kept in the students’ files at school (105CMR 220. I have discussed the benefits and risks of immunizations with the health care practitioner (signed below). California, New York, Connecticut and Maine allow only medical exemptions, not religious exemptions. 5/2009) Website addresses provided in the Virginia Administrative Code to documents incorporated by Under Massachusetts State Regulations (105 CMR 220. None of the major religions have mandates against vaccination To obtain a RELIGIOUS EXEMPTION, please describe the religious principles that guide your objection to immunization. m. g. 2 days ago · The collision between religious belief and medical intervention represents a complex legal and ethical battleground in America. Certificate of Religious Exemption, CRE-1 (rev. Jan 1, 2025 · A: To submit a vaccine religious exemption form in Massachusetts for your child’s private school, start by obtaining the appropriate form from the Massachusetts Department of Public Health website or directly from your child’s school administration. Do you want this Religious exemption to include Flu shots? A separate form must be completed for each child. Currently, districts are in charge of processing vaccine exemptions and voluntarily report immunization data to the state. Mar 11, 2025 · Pro-vaccine advocates are trying to build support for a bill that would get rid of religious exemptions for routine childhood vaccine requirements in Massachusetts’ schools. This exemption does not apply during an emergency or epidemic of disease. The Dean College Immunization Exemption Form is a document that allows students to formally request an exemption from the required immunizations based on specific criteria, such as medical or religious reasons. 15, 15C and 15D). 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 strong moral or ethical conviction similar to religious belief. 181, rsmo) of children attending public, private, and we healthcare strongly provider encourage or call to immunization immunize your coordinator child, but ultimately of your child, but also the rest of your family, the health of your child’s friends and their families, classmates, neighbors, and The Student Immunization Compliance Office collects and screens immunization documentation required by the Commonwealth of Massachusetts, MCPHS, and those recommended for students engaging in clinical rotations by the Centers for Disease Control and Prevention (CDC). Jul 24, 2025 · All 50 states and Washington D. I understand that it is impossible to get influenza from influenza vaccine. Can I still get a religious exemption? What are the religious exemption application elements, and why are they included in this bill? Yes. Massachusetts school immunization Parent/Guardian Declaration One or more of the required vaccines are in conflict with my personal, philosophical, or religious beliefs. Religious exemption. A child's parent, a legal guardian, or a student 18 years or older has the option to download and print the blank immunization exemption affidavit form. Requestor Responses Please specify the religious or spiritual belief, practice, or observance that is the basis of your request for exemption from the University’s COVID-19 vaccine requirement. A. state vaccine registry other than Massachusetts, click the blue button that says, "Electronically Request My Immunization Records (Fast & Easy)" and follow the prompts to request your out-of-state records. Only legally valid medical and religious exemptions are acceptable. 76, ss. Before entry, students must have the required immunizations unless exempt for medical or religious reasons. have laws requiring certain vaccines for students to attend school. c. In the “Exemption History” section, the user must first select an exemption type: partial or full exemption, indicated by the selections: “Partial Religious Exemption” ectiv For partial exemption”, the user will need to select a vaccine “Group” from the drop-down menu. These letters are often submitted to schools, employers, or government agencies to comply with policies while asserting legal rights to opt out Medical Immunization Exemption Massachusetts Law (MGL ch 76 sec 15C) and regulation (105 CMR 220) applies to any student attending any postsecondary school. 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 (DPH 2208). Medical exemptions are also allowed. The exemption must be completed, signed by the parent or guardian and placed on file with the school immunization health record. If additional space is required, Sep 13, 2021 · May 17, 2021 Recipient Address Re: Religious Exemption for Vaccination of [NAME OF MEMBER] To Whom it May Concern, I am a Pastor at Revival Ministries International, a Tampa, Florida based ministry. of the child, the chil ) Religious Exemption. To utilize this exemption, individuals must declare that vaccination conflicts with their religious tenets and practices, under penalty of perjury. Learn how to craft a compelling and personalized request. State laws vary regarding non-medical exemptions, for religious or personal reasons, and are presented in both a map and table format. Massachusetts Department of Public Health Immunization Exemptions and Vaccine Preventable Disease Exclusion Guidelines in School Settings Definition of Allowable Exemptions There are two situations in which children who are not appropriately immunized may be admitted to school: 1) a medical exemption is allowed if a physician submits documentation attesting that an immunization is medically Sep 19, 2020 · How to get a religious exemption from the flu shot in Massachusetts; state has seen an increase in vaccine religious exemptions while a decrease in religion Published: Sep. 76, ss. It outlines the process for parents or guardians to request an exemption from required vaccinations based on religious beliefs. Oct 31, 2025 · Massachusetts students must provide documentation of immunization, according to school requirements, or show a medical or religious exemption. Dec 13, 2021 · As anti-vaxxers and COVID-19 vaccine skeptics feel economic walls closing in, some are turning to religion to avoid the jabs. We agree with the Civil Rights Act of 1964, that when a person has a firmly held religious belief that FORMS (12VAC5-110). Other states soon followed with their own vaccination laws The document is an Immunization Exemption form where the signer requests a Medical or Religious exemption from immunizations required for Dean College students. Other Resources: Many vaccination and exemption information links I am making this truthful Religious Exemption Request under the penalty of perjury so that I may enroll and attend in person classes at the Massachusetts School of Law in Andover. A Certificate of Immunization Exemption for religious reasons shall be signed by the applicant or, if the applicant is a minor, by the parent or guardian or legally authorized representative. Comprehensive Guide to the TN ED-5379 Printable Template Form What is the TN ED-5379 form? The TN ED-5379 form is a critical document for families seeking a religious exemption from vaccination requirements for their children attending school in Tennessee. If there is an outbreak of any vaccine-preventable diseases for which you are not vaccinated, you will be required to leave campus until the risk of spreading the disease has passed. Indicate how your sincerely held religious belief conflicts with the COVID-19 vaccine mandate. I understand, that in the occurrence of an outbreak, potential epidemic or epidemic of a vaccine-preventable disease in my/my child's school, the State Health Commissioner may order my/my child's exclusion from school, for my/my child's own protection, until the danger has passed. If you hold such beliefs, the Massachusetts Vaccine Refusal Form provides a platform to declare your stance An Act Relative to the Protection of Medical Exemptions for Immunizations for School Attendance is critical for protecting medical decision-making, physician integrity, and parental rights. 000 and M. The administration of immunizing agents conflicts with the above named student's/my religious tenets or practices. Immunization Exemption Request Form Massachusetts Law does not allow for philosophical exemptions, even if signed by a physician. Religious Beliefs Exemption Form For Child Care, Preschool, and Head Start Programs ONLY The Arizona Department of Health Services (ADHS) strongly supports immunization as one of the easiest and most effective tools in preventing diseases that can cause serious illness and even death. Oct 1, 2019 · Immunization Exemptions No child shall be required to have any such immunization if his or her parent(s) objects, in writing, on the grounds that it conflicts with their sincere religious beliefs or if the child’s physician, nurse educator, or physician assistant submits documentation that such a procedure is contraindicated. Schools, child care centers and local health departments who are responsible for processing requests for exemptions from mandatory immunization requirements are reminded that such exemptions are a dated report from the Massachusetts Immunization Information System which specifies the month and year of administration and the type/name of the vaccine(s) administered to the student. To electronically sign this form, enter your full name. Failure to obtain all immunizations required to participate in clinical rotations or other activities with patient contact may negatively impact progression in my academic program. 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