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  Topic Review (Newest First)
03-22-2008 07:09 PM
grisandole Arizona exemption letter example (I used it for schools and for our foster care application). AZ offers a philosophical exemption as well as religious.


To Whom It May Concern:

In accordance with ARS 15-873, we certify that we have received information about immunizations provided by the department of health services, we understand the risks and benefits of immunizations and the potential risks and benefits of non-immunization; and due to religious/personal beliefs, we do not consent to the immunization of our child, *child's name*.


Sincerely,

your name
03-15-2008 01:22 PM
Ms. Mom CDN Exemption Forms: ON, MB & NB
Those Canadian forms can all be found right here
03-15-2008 02:11 AM
Ms. Mom California
This is the California ("blue card") It is a two-sided form. On the back is a personal beliefs affidavit to sign in order to exempt your child from the vaccination and TB testing requirements. If the form is not provided by the school, parents can print this out themselves, preferably two-sided on sky-blue paper.
School Immunization Record.

Kansas
Kansas Certificate of Immunization

Michigan
Department of Community Health

Nebraska
Refusal of Immunization of Student for Religious Reasons
Refusal of Immunization for Medical Reasons

North Dakota
North Dakota Department of Health
Certificate of Immunization


New Mexico
Certificate of Exemption from School/Daycare Immunization Requirements

Texas
TX Exemption forms now online!
Don't know how many of us on here are in TX...but it was time for me to resubmit my request for forms and look here:
The Reason of Concience (philo/religious) form request is now online!
(You'll see the spot for the normal request forms in PDF/Word..then below that you'll see a link for the online request.)

Vermont
School Immunization Exemption Form

Virginia
Virginia Certificate of Religious Exemption
03-15-2008 02:04 AM
Ms. Mom

Resources

Please PM a moderator with suggested additions for this thread.

Books

United States Exemption forums by state

Canadian Exemption Forms

Doctor's Office Waivers


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