RELIGIOUS EXEMPTION FOR VACCINATIONS LETTER DOWNLOAD

Download Exemption Request (Form 139-M).

The exemption expiration date will be based on the circumstances for the exemption, and will be no less than one school year unless otherwise indicated on the request. The original Certificate of Medical Exemption (Form 122) will be housed at MSDH.ĭata regarding medical exemptions will be maintained in the Immunization area of the MSDH website.

The State Epidemiologist or Deputy State Epidemiologist will mail a copy of the Certificate of Medical/Religious Exemption (Form 122) to the parent and the pediatrician, family practitioner, internist, or tertiary care physician who submitted the Medical Exemption Request.

Form 139-M must be submitted to the Mississippi State Department of Health Epidemiologist or Deputy State Epidemiologist.

The same pediatrician, family physician, internist, or tertiary care physician must indicate on Form 139-M the medical condition of the child seeking exemption and indicate the exemption status for each of the listed vaccines.

Medical exemption requests completed and signed by a tertiary care physician outside of the state will be reviewed on a case by case basis.

An MSDH Medical Exemption Request (Form 139-M) must be completed and signed by the child's pediatrician, family physician, or internist who is duly licensed in Mississippi.

Requesting a Medical ExemptionĪny requested medical exemption will be allowed if it meets the following guidelines The parent and the requesting physician will be contacted in the event that the out-of-state medical exemption request is not accepted. The original Certificate of Medical/Religious Exemption (Form 122) will be housed at MSDH with a copy mailed to the parent and the requesting physician.įollow up and request for additional information will be conducted by the State Epidemiologist or Deputy State Epidemiologist for out-of-state medical exemption requests if needed. Only the Certificate of Medical/Religious Exemption (Form 122) signed and dated by the State Epidemiologist or Deputy State Epidemiologist provides official, documented proof that a child has been issued an exemption by MSDH. Once the request is reviewed and accepted, a Certificate of Medical/Religious Exemption (Form 122) will be issued. Review of all medical exemption requests will be conducted at the Mississippi State Department of Health by the State Epidemiologist or Deputy State Epidemiologist. Medical exemption requests completed and signed by a tertiary care physician outside of the state will be reviewed on a case by case basis. Children receiving specialized or tertiary care outside of the state may have medical exemption requests completed and signed by their tertiary care physician.Īll exemptions submitted by a Mississippi licensed pediatrician, family physician, or internist will be accepted based on the Medical Exemption guidelines below. To request a medical exemption from one or more required vaccinations, the MSDH Medical Exemption Request (Form 139-M) must be completed and signed by the child's pediatrician, family physician, or internist who is duly licensed in Mississippi.

Board of Health statement on religious exemptions.

Questions and answers about religious exemptions.

See publications for additional data sources.

National, State, and Local Area Vaccination Coverage Among Children Aged 19-35 Months - United States, 2012. Factors associated with refusal of childhood vaccines among parents of school-aged children.

Salmon DA, Moulton LH, Omer SB, DeHart MP, Stokley S, Halsey NA.

Additionally, over the past several years, vaccination coverage measured using data from the National Immunization Survey indicate that <1% of children 19–35 months received no vaccines of any type. A study of schoolchildren with nonmedical exemptions found that 75% of these children had received at least one vaccine previously. Based on available information, we believe parents refusing all vaccines for their children is an uncommon occurrence.

The parent refused all vaccines for their child.

RELIGIOUS EXEMPTION FOR VACCINATIONS LETTER SERIES

The parent refused a specific vaccine series for their child.The parent refused a dose of vaccine for their child.Please check with your school to learn about exemptions or visit the School Vaccination Requirements and Exemptions tool.Īn exemption in the school vaccination assessment reports could mean one of several things: All but three states offer nonmedical exemptions for religious or philosophical reasons. A medical exemption is allowed when a child has a medical condition that prevents them from receiving a vaccine. All states and the District of Columbia allow a medical exemption. Exemptions from state or local requirements may apply to some children.

Religious exemption for vaccinations letter