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Immunization Exemption Letter

post #1 of 3
Thread Starter 
Thoughts on this exemption letter? Should I add or change anything

Immunization Exemption Letter

05/02/2008

To Whom It May Concern:

Re: Religious Exemption


We____________________________, as the parents of the child_________________ after considering the risks and benefits of the vaccine(s) and our religious grounds we do hereby decide not to vaccinate our child with any and all vaccines.

rotavirus
Diphtheria
Pertussis
Tetanus
Measles
Mumps
Rubella
Polio
Varicella
Hepatitis B
Hepatitis A
Prevnar
Anthrax
Smallpox
Haemophilus influenzae type b
influenza

§ 23.84. Exemption from immunization. [28 PA. CODE CH.23]
(b) 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.

Date: ____________________
__________________________________
Parent/Guardian

__________________________________
Parent/Guardian
post #2 of 3
Quote:
Originally Posted by Twoplussixis8 View Post

We____________________________, as the parents of the child_________________ after considering the risks and benefits of the vaccine(s) and our religious grounds we do hereby decide not to vaccinate our child with any and all vaccines.
Too many we's here. It should say something like:

We____________________________, as the parents of the child_________________, after considering the risks and benefits of the vaccine(s) and our religious grounds, do hereby decide not to vaccinate our child with any and all vaccines.

What is this exemption letter for?
post #3 of 3
Thread Starter 
What is this exemption letter for?[/QUOTE]



Just to have it on hand if I need it for my 3 month old son.
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