Official vaccine exemption forms by state and province

Medical Available

Submit completed form signed by a licensed physician (MD/DO) to the school or childcare facility.

Signed by: Licensed physician (MD or DO)
Renewal: Must be renewed annually or as specified by the physician.

Alabama Immunization Program — Official Health Department (opens in a new tab)

Religious Available

Parent/guardian must submit the notarized form to the school. No education session required.

Signed by: Parent/guardian or individual (age 19+)
Renewal: New form must be submitted each school year.

Alabama Immunization Program — Official Health Department (opens in a new tab)

Personal belief Not available

Medical Available

Submit form signed by a licensed physician (MD/DO), advanced practice registered nurse, or physician assistant to the school.

Signed by: MD, DO, APRN, or PA
Renewal: Duration specified by the healthcare provider.

Alaska Immunization Program — Official Health Department (opens in a new tab)

Religious Available

Parent/guardian must sign and submit the official state form. Notarization required.

Signed by: Parent/guardian
Renewal: Must be renewed yearly before school entry.

Alaska Immunization Program — Official Health Department (opens in a new tab)

Personal belief Not available

Medical Available

Submit form signed by a licensed healthcare provider to the school administrator.

Signed by: Licensed physician (MD/DO) or nurse practitioner
Renewal: Valid for the duration stated by the provider; typically reviewed annually.

Arizona Immunization Program — Official Health Department (opens in a new tab)

Religious Available

Parent/guardian signs and submits the form to the school. No notarization required.

Signed by: Parent/guardian
Renewal: Annually before school entry.

Arizona Immunization Program — Official Health Department (opens in a new tab)

Personal belief Available

Parent/guardian signs and submits form to the school. No notarization or explanation of beliefs required.

Signed by: Parent/guardian
Renewal: Annually before school entry.

Arizona Immunization Program — Official Health Department (opens in a new tab)

Medical Available

Submit form completed by a licensed physician (MD/DO) to the school.

Signed by: Licensed physician (MD or DO)
Renewal: Duration specified by physician.

Arkansas Immunization Program — Official Health Department (opens in a new tab)

Religious Available

Parent completes and notarizes form. Submit to school annually.

Signed by: Parent/guardian
Renewal: Must be submitted annually before October 1.

Arkansas Immunization Program — Official Health Department (opens in a new tab)

Personal belief Available

Parent completes and notarizes form. Submit to school annually.

Signed by: Parent/guardian
Renewal: Must be submitted annually before October 1.

Arkansas Immunization Program — Official Health Department (opens in a new tab)

Medical Available

Physician must complete the California Immunization Registry (CAIR) Medical Exemption form. Starting 2021, all medical exemptions are reviewed by the California Department of Public Health. Parent submits to school.

Signed by: Licensed physician (MD or DO). CDPH reviews and may revoke exemptions.
Renewal: Must be renewed based on physician's determination. CDPH may review exemptions.

California Immunization Program — Official Health Department (opens in a new tab)

Religious Not available

Personal belief Not available

Medical Available

Submit form signed by a licensed physician (MD/DO), advanced practice nurse, or physician assistant to the school.

Signed by: MD, DO, APRN, or PA
Renewal: Annually unless physician certifies a permanent condition.

Colorado Immunization Program — Official Health Department (opens in a new tab)

Religious Available

Parent/guardian must submit the non-medical exemption form. Requires either a signature from a healthcare provider who has provided vaccine education OR an online education module completion certificate.

Signed by: Parent/guardian with provider signature or education module completion
Renewal: New form required annually. Education module certificate expires after 2 years.

Colorado Immunization Program — Official Health Department (opens in a new tab)

Personal belief Available

Same process as religious exemption. Colorado uses a unified non-medical exemption form.

Signed by: Parent/guardian with provider signature or education module completion
Renewal: New form required annually.

Colorado Immunization Program — Official Health Department (opens in a new tab)

Medical Available

Submit form signed by a licensed physician (MD/DO), APRN, or PA to the school.

Signed by: MD, DO, APRN, or PA
Renewal: Annually unless permanent condition is specified.

Connecticut Immunization Program — Official Health Department (opens in a new tab)

Religious Not available

Personal belief Not available

Medical Available

Submit form completed by a licensed physician (MD/DO) to the school.

Signed by: Licensed physician (MD or DO)
Renewal: Annually unless physician states condition is permanent.

Delaware Immunization Program — Official Health Department (opens in a new tab)

Religious Available

Parent/guardian must sign and notarize the religious exemption affidavit and submit to the school.

Signed by: Parent/guardian (with notarization)
Renewal: Annually for each school year.

Delaware Immunization Program — Official Health Department (opens in a new tab)

Personal belief Not available

Medical Available

Submit the DC Universal Health Certificate with the medical exemption section completed and signed by a licensed physician (MD/DO) to the school.

Signed by: Licensed physician (MD or DO)
Renewal: Annually.

District of Columbia Immunization Program — Official Health Department (opens in a new tab)

Religious Available

Parent/guardian completes the form and submits to school. Notarization not required.

Signed by: Parent/guardian
Renewal: Annually.

District of Columbia Immunization Program — Official Health Department (opens in a new tab)

Personal belief Not available

Medical Available

Physician completes Section C of the DH 680 form waiving specific vaccines. Submit to the school or childcare facility.

Signed by: Licensed physician (MD or DO)
Renewal: Per physician's determination.

Florida Immunization Program — Official Health Department (opens in a new tab)

Religious Available

Parent/guardian must request and complete form DH 681 from the County Health Department. No notarization required.

Signed by: County Health Department issues the form; parent/guardian signs
Renewal: Permanent — does not need to be re-submitted annually.

Florida Immunization Program — Official Health Department (opens in a new tab)

Personal belief Not available

Medical Available

Submit form completed by a licensed physician (MD/DO) to the school on the Georgia Certificate of Immunization (Form 3231).

Signed by: Licensed physician (MD or DO)
Renewal: According to physician's determination.

Georgia Immunization Program — Official Health Department (opens in a new tab)

Religious Available

Parent/guardian must sign and notarize the affidavit and submit it to the school.

Signed by: Parent/guardian (with notarization)
Renewal: Must be renewed annually at the beginning of each school year.

Georgia Immunization Program — Official Health Department (opens in a new tab)

Personal belief Not available

Medical Available

Submit form signed by a licensed physician (MD/DO), APRN, or PA to the school.

Signed by: MD, DO, APRN, or PA
Renewal: Duration determined by the healthcare provider.

Hawaii Immunization Program — Official Health Department (opens in a new tab)

Religious Available

Parent/guardian signs the form and submits to the school. Notarization not required.

Signed by: Parent/guardian
Renewal: Annually.

Hawaii Immunization Program — Official Health Department (opens in a new tab)

Personal belief Not available

Medical Available

Submit a signed statement from a licensed physician indicating the medical contraindication to the school.

Signed by: Licensed physician (MD or DO)
Renewal: Per physician's recommendation.

Idaho Immunization Program — Official Health Department (opens in a new tab)

Religious Available

Parent/guardian completes the state exemption form and submits to the school. Notarization not required.

Signed by: Parent/guardian
Renewal: Annually.

Idaho Immunization Program — Official Health Department (opens in a new tab)

Personal belief Available

Parent/guardian completes the same state form and selects personal/philosophical reason.

Signed by: Parent/guardian
Renewal: Annually.

Idaho Immunization Program — Official Health Department (opens in a new tab)

Medical Available

Submit form signed by a licensed physician (MD/DO), APRN, or PA to the school.

Signed by: MD, DO, APRN, or PA
Renewal: According to physician's determination.

Illinois Immunization Program — Official Health Department (opens in a new tab)

Religious Available

Parent/guardian completes the religious exemption form and submits to school. No notarization required.

Signed by: Parent/guardian
Renewal: Must be renewed annually.

Illinois Immunization Program — Official Health Department (opens in a new tab)

Personal belief Not available

Medical Available

Submit form signed by a licensed physician (MD/DO) to the school.

Signed by: Licensed physician (MD or DO)
Renewal: As determined by the physician.

Indiana Immunization Program — Official Health Department (opens in a new tab)

Religious Available

Parent/guardian completes and submits the form to the school. No notarization required.

Signed by: Parent/guardian
Renewal: Annually.

Indiana Immunization Program — Official Health Department (opens in a new tab)

Personal belief Not available

Medical Available

Submit form signed by a licensed physician (MD/DO), APRN, or PA to the school.

Signed by: MD, DO, APRN, or PA
Renewal: As indicated by the provider; typically annually.

Iowa Immunization Program — Official Health Department (opens in a new tab)

Religious Available

Parent/guardian signs and notarizes the form. Submit to school.

Signed by: Parent/guardian (with notarization)
Renewal: Annually.

Iowa Immunization Program — Official Health Department (opens in a new tab)

Personal belief Not available

Medical Available

Submit form signed by a licensed physician (MD/DO) to the school.

Signed by: Licensed physician (MD or DO)
Renewal: According to physician's determination.

Kansas Immunization Program — Official Health Department (opens in a new tab)

Religious Available

Parent/guardian completes a written statement and submits to the school. Notarization not required.

Signed by: Parent/guardian
Renewal: Annually.

Kansas Immunization Program — Official Health Department (opens in a new tab)

Personal belief Not available

Medical Available

Submit form signed by a licensed physician (MD/DO) or advanced practice registered nurse to the school.

Signed by: MD, DO, or APRN
Renewal: Per provider's determination.

Kentucky Immunization Program — Official Health Department (opens in a new tab)

Religious Available

Parent/guardian completes and notarizes the sworn statement. Submit to school.

Signed by: Parent/guardian (with notarization)
Renewal: Annually.

Kentucky Immunization Program — Official Health Department (opens in a new tab)

Personal belief Not available

Medical Available

Submit form signed by a licensed physician (MD/DO) to the school.

Signed by: Licensed physician (MD or DO)
Renewal: As determined by physician.

Louisiana Immunization Program — Official Health Department (opens in a new tab)

Religious Available

Parent/guardian completes and notarizes the form. Submit to school.

Signed by: Parent/guardian (with notarization)
Renewal: Annually.

Louisiana Immunization Program — Official Health Department (opens in a new tab)

Personal belief Available

Parent/guardian completes and notarizes the form. Submit to school.

Signed by: Parent/guardian (with notarization)
Renewal: Annually.

Louisiana Immunization Program — Official Health Department (opens in a new tab)

Medical Available

Submit form signed by a licensed physician (MD/DO), nurse practitioner, or physician assistant to the school.

Signed by: MD, DO, NP, or PA
Renewal: Annually.

Maine Immunization Program — Official Health Department (opens in a new tab)

Religious Not available

Personal belief Not available

Medical Available

Submit form signed by a licensed physician (MD/DO) on the Maryland Form 896 to the school.

Signed by: Licensed physician (MD or DO)
Renewal: As indicated by physician.

Maryland Immunization Program — Official Health Department (opens in a new tab)

Religious Available

Parent/guardian must request the religious exemption form from the local health department or school, sign it, and submit.

Signed by: Parent/guardian
Renewal: Annually.

Maryland Immunization Program — Official Health Department (opens in a new tab)

Personal belief Not available

Medical Available

Submit form signed by a licensed physician (MD/DO), nurse practitioner, or physician assistant to the school.

Signed by: MD, DO, NP, or PA
Renewal: Annually unless provider certifies lifelong condition.

Massachusetts Immunization Program — Official Health Department (opens in a new tab)

Religious Available

Parent/guardian completes the form and submits to the school. No notarization required.

Signed by: Parent/guardian
Renewal: Annually.

Massachusetts Immunization Program — Official Health Department (opens in a new tab)

Personal belief Not available

Medical Available

Submit form signed by a licensed physician (MD/DO) to the school.

Signed by: Licensed physician (MD or DO)
Renewal: As determined by the physician; may be permanent.

Michigan Immunization Program — Official Health Department (opens in a new tab)

Religious Available

Parent/guardian must visit the local health department to receive vaccine education and have the waiver form certified. Then submit certified form to the school.

Signed by: Local health department (certifies after education session); parent/guardian signs
Renewal: Annually.

Michigan Immunization Program — Official Health Department (opens in a new tab)

Personal belief Available

Same process as religious exemption. Requires health department education session. A unified waiver form covers all non-medical exemptions.

Signed by: Local health department certifies; parent/guardian signs
Renewal: Annually.

Michigan Immunization Program — Official Health Department (opens in a new tab)

Medical Available

Submit form signed by a licensed physician (MD/DO), nurse practitioner, or physician assistant to the school.

Signed by: MD, DO, NP, or PA
Renewal: As determined by provider.

Minnesota Immunization Program — Official Health Department (opens in a new tab)

Religious Available

Parent/guardian completes the conscientious exemption form, has it notarized, and submits to the school.

Signed by: Parent/guardian (with notarization)
Renewal: Annually.

Minnesota Immunization Program — Official Health Department (opens in a new tab)

Personal belief Available

Same process. Minnesota uses a unified 'conscientious exemption' that covers both religious and philosophical objections.

Signed by: Parent/guardian (with notarization)
Renewal: Annually.

Minnesota Immunization Program — Official Health Department (opens in a new tab)

Medical Available

Submit Form 139 completed by a licensed physician (MD/DO) to the school.

Signed by: Licensed physician (MD or DO)
Renewal: Annually unless physician certifies permanent condition.

Mississippi Immunization Program — Official Health Department (opens in a new tab)

Religious Not available

Personal belief Not available

Medical Available

Submit form signed by a licensed physician (MD/DO) to the school.

Signed by: Licensed physician (MD or DO)
Renewal: Based on physician's recommendation.

Missouri Immunization Program — Official Health Department (opens in a new tab)

Religious Available

Parent/guardian completes the exemption form and submits it to the school. Notarization not required.

Signed by: Parent/guardian
Renewal: Annually.

Missouri Immunization Program — Official Health Department (opens in a new tab)

Personal belief Not available

Medical Available

Submit form signed by a licensed physician (MD/DO) to the school.

Signed by: Licensed physician (MD or DO)
Renewal: As determined by physician.

Montana Immunization Program — Official Health Department (opens in a new tab)

Religious Available

Parent/guardian completes and notarizes the affidavit. Submit to school annually.

Signed by: Parent/guardian (with notarization)
Renewal: Annually.

Montana Immunization Program — Official Health Department (opens in a new tab)

Personal belief Not available

Medical Available

Submit form signed by a licensed physician (MD/DO), physician assistant, or nurse practitioner to the school.

Signed by: MD, DO, PA, or NP
Renewal: According to provider's statement.

Nebraska Immunization Program — Official Health Department (opens in a new tab)

Religious Available

Parent/guardian completes and notarizes the affidavit. Submit to school.

Signed by: Parent/guardian (with notarization)
Renewal: Annually.

Nebraska Immunization Program — Official Health Department (opens in a new tab)

Personal belief Not available

Medical Available

Submit form signed by a licensed physician (MD/DO) to the school.

Signed by: Licensed physician (MD or DO)
Renewal: According to physician's determination.

Nevada Immunization Program — Official Health Department (opens in a new tab)

Religious Available

Parent/guardian completes the form and submits to the school. No notarization required.

Signed by: Parent/guardian
Renewal: Annually.

Nevada Immunization Program — Official Health Department (opens in a new tab)

Personal belief Not available

Medical Available

Submit form signed by a licensed physician (MD/DO), APRN, or PA to the school.

Signed by: MD, DO, APRN, or PA
Renewal: According to provider's determination.

New Hampshire Immunization Program — Official Health Department (opens in a new tab)

Religious Available

Parent/guardian completes and notarizes the form. Submit to school.

Signed by: Parent/guardian (with notarization)
Renewal: Annually.

New Hampshire Immunization Program — Official Health Department (opens in a new tab)

Personal belief Not available

Medical Available

Submit form IMM-33 signed by a licensed physician (MD/DO), APRN, or PA to the school.

Signed by: MD, DO, APRN, or PA
Renewal: Annually.

New Jersey Immunization Program — Official Health Department (opens in a new tab)

Religious Available

Parent/guardian must submit a written, signed statement explaining the religious beliefs that conflict with immunization. Notarization not required by statute, but individual schools may request it.

Signed by: Parent/guardian
Renewal: Annually, written statement must be re-submitted.

New Jersey Immunization Program — Official Health Department (opens in a new tab)

Personal belief Not available

Medical Available

Submit form signed by a licensed physician (MD/DO), certified nurse practitioner, or physician assistant to the school.

Signed by: MD, DO, CNP, or PA
Renewal: According to provider's determination.

New Mexico Immunization Program — Official Health Department (opens in a new tab)

Religious Available

Parent/guardian completes and submits the form to the school. Notarization not required by state, though individual districts may have policies.

Signed by: Parent/guardian
Renewal: Annually.

New Mexico Immunization Program — Official Health Department (opens in a new tab)

Personal belief Not available

Medical Available

Submit form signed by a licensed physician (MD/DO) or nurse practitioner to the school. The form requires the specific medical contraindication to be stated.

Signed by: MD, DO, or NP
Renewal: Annually.

New York Immunization Program — Official Health Department (opens in a new tab)

Religious Not available

Personal belief Not available

Medical Available

Submit form signed by a licensed physician (MD/DO) to the school.

Signed by: Licensed physician (MD or DO)
Renewal: As indicated by the physician.

North Carolina Immunization Program — Official Health Department (opens in a new tab)

Religious Available

Parent/guardian must submit a written statement of their religious objection. No notarization required. No state form is mandated — the parent's written statement serves as the exemption document.

Signed by: Parent/guardian (written statement)
Renewal: Annually.

North Carolina Immunization Program — Official Health Department (opens in a new tab)

Personal belief Not available

Medical Available

Submit form signed by a licensed physician (MD/DO), APRN, or PA to the school.

Signed by: MD, DO, APRN, or PA
Renewal: According to provider's recommendation.

North Dakota Immunization Program — Official Health Department (opens in a new tab)

Religious Available

Parent/guardian completes the form and submits to the school. Notarization not required.

Signed by: Parent/guardian
Renewal: Annually.

North Dakota Immunization Program — Official Health Department (opens in a new tab)

Personal belief Available

Parent/guardian completes the form and submits to the school. Notarization not required.

Signed by: Parent/guardian
Renewal: Annually.

North Dakota Immunization Program — Official Health Department (opens in a new tab)

Medical Available

Submit form signed by a licensed physician (MD/DO), APRN, or PA to the school.

Signed by: MD, DO, APRN, or PA
Renewal: According to the healthcare provider's statement.

Ohio Immunization Program — Official Health Department (opens in a new tab)

Religious Available

Parent/guardian must complete the form and submit to the school. The form requires a description of the religious tenets that conflict with immunization. Notarization not required.

Signed by: Parent/guardian
Renewal: Annually.

Ohio Immunization Program — Official Health Department (opens in a new tab)

Personal belief Available

Parent/guardian completes the form stating reasons of conscience. Submit to school. Notarization not required.

Signed by: Parent/guardian
Renewal: Annually.

Ohio Immunization Program — Official Health Department (opens in a new tab)

Medical Available

Submit form signed by a licensed physician (MD/DO) to the school.

Signed by: Licensed physician (MD or DO)
Renewal: According to physician's determination.

Oklahoma Immunization Program — Official Health Department (opens in a new tab)

Religious Available

Parent/guardian completes and signs the certificate in the presence of a notary public. Submit notarized form to the school.

Signed by: Parent/guardian (with notarization)
Renewal: Annually.

Oklahoma Immunization Program — Official Health Department (opens in a new tab)

Personal belief Available

Parent/guardian completes and signs the certificate in the presence of a notary public. Submit notarized form to the school.

Signed by: Parent/guardian (with notarization)
Renewal: Annually.

Oklahoma Immunization Program — Official Health Department (opens in a new tab)

Medical Available

Submit form signed by a licensed physician (MD/DO), nurse practitioner, physician assistant, or naturopathic doctor (ND) to the school.

Signed by: MD, DO, NP, PA, or ND
Renewal: As indicated by provider.

Oregon Immunization Program — Official Health Department (opens in a new tab)

Religious Available

Parent/guardian must either: (1) submit a signed certificate from a healthcare practitioner confirming they received vaccine education, OR (2) complete the OHA online Vaccine Education Module and submit the completion certificate. Then submit the nonmedical exemption form to the school.

Signed by: Parent/guardian with education requirement
Renewal: Annually. Vaccine education module certificate valid for 2 years.

Oregon Immunization Program — Official Health Department (opens in a new tab)

Personal belief Available

Same process as religious exemption. Oregon uses a unified nonmedical exemption form.

Signed by: Parent/guardian with education requirement
Renewal: Annually.

Oregon Immunization Program — Official Health Department (opens in a new tab)

Medical Available

Submit form signed by a licensed physician (MD/DO), certified registered nurse practitioner, or physician assistant to the school.

Signed by: MD, DO, CRNP, or PA
Renewal: Based on provider's determination.

Pennsylvania Immunization Program — Official Health Department (opens in a new tab)

Religious Available

Parent/guardian completes form and submits to school. Notarization not required.

Signed by: Parent/guardian
Renewal: Annually.

Pennsylvania Immunization Program — Official Health Department (opens in a new tab)

Personal belief Available

Parent/guardian completes form and submits to school. Notarization not required.

Signed by: Parent/guardian
Renewal: Annually.

Pennsylvania Immunization Program — Official Health Department (opens in a new tab)

Medical Available

Submit form signed by a licensed physician (MD/DO), nurse practitioner, or physician assistant to the school.

Signed by: MD, DO, NP, or PA
Renewal: Annually, unless provider certifies a permanent condition.

Rhode Island Immunization Program — Official Health Department (opens in a new tab)

Religious Available

Parent/guardian completes and notarizes the certificate. Submit to school.

Signed by: Parent/guardian (with notarization)
Renewal: Annually.

Rhode Island Immunization Program — Official Health Department (opens in a new tab)

Personal belief Not available

Medical Available

Submit form signed by a licensed physician (MD/DO) to the school on DHEC Form 1429.

Signed by: Licensed physician (MD or DO)
Renewal: According to physician's determination.

South Carolina Immunization Program — Official Health Department (opens in a new tab)

Religious Available

Parent/guardian must obtain the certificate from the health department, complete it, and submit to the school. Notarization may be required by the local health department.

Signed by: Parent/guardian; certificate issued by health department
Renewal: Annually.

South Carolina Immunization Program — Official Health Department (opens in a new tab)

Personal belief Not available

Medical Available

Submit form signed by a licensed physician (MD/DO), nurse practitioner, or physician assistant to the school.

Signed by: MD, DO, NP, or PA
Renewal: According to provider's recommendation.

South Dakota Immunization Program — Official Health Department (opens in a new tab)

Religious Available

Parent/guardian completes and signs the form. Notarization required. Submit to school.

Signed by: Parent/guardian (with notarization)
Renewal: Annually.

South Dakota Immunization Program — Official Health Department (opens in a new tab)

Personal belief Not available

Medical Available

Submit form signed by a licensed physician (MD/DO), nurse practitioner, or physician assistant to the school.

Signed by: MD, DO, NP, or PA
Renewal: As indicated by provider.

Tennessee Immunization Program — Official Health Department (opens in a new tab)

Religious Available

Parent/guardian completes and signs the certificate. Notarization required. Submit to the school.

Signed by: Parent/guardian (with notarization)
Renewal: Annually.

Tennessee Immunization Program — Official Health Department (opens in a new tab)

Personal belief Not available

Medical Available

Submit written statement from a licensed physician (MD/DO) stating the medical contraindication. Submit to school.

Signed by: Licensed physician (MD or DO)
Renewal: Annually unless physician specifies lifelong condition.

Texas Immunization Program — Official Health Department (opens in a new tab)

Religious Available

Parent/guardian must submit the official DSHS affidavit form. The form covers reasons of conscience including religious beliefs. Notarization not required but the official state form must be used. Submit to school within 90 days of the start of the school year.

Signed by: Parent/guardian or individual (age 18+)
Renewal: Must be submitted within 90 days of school start annually.

Texas Immunization Program — Official Health Department (opens in a new tab)

Personal belief Available

Texas uses a unified affidavit for all reasons of conscience, including religious beliefs and philosophical objections. The same form is used for both.

Signed by: Parent/guardian or individual (age 18+)
Renewal: Submitted within 90 days of school start annually.

Texas Immunization Program — Official Health Department (opens in a new tab)

Medical Available

Submit form signed by a licensed physician (MD/DO) to the school.

Signed by: Licensed physician (MD or DO)
Renewal: As determined by physician.

Utah Immunization Program — Official Health Department (opens in a new tab)

Religious Available

Parent/guardian must complete the state exemption form and submit to the school. The form requires a completed online education module certificate from the Utah DHHS before the exemption is valid.

Signed by: Parent/guardian (with online education module completion)
Renewal: Annually. Education module must be re-completed each year.

Utah Immunization Program — Official Health Department (opens in a new tab)

Personal belief Available

Same process. Utah uses a unified exemption form with an education requirement for all non-medical exemptions.

Signed by: Parent/guardian (with online education module completion)
Renewal: Annually.

Utah Immunization Program — Official Health Department (opens in a new tab)

Medical Available

Submit form signed by a licensed physician (MD/DO), nurse practitioner, or physician assistant to the school.

Signed by: MD, DO, NP, or PA
Renewal: Annually.

Vermont Immunization Program — Official Health Department (opens in a new tab)

Religious Available

Parent/guardian completes the form. Beginning in 2016, Vermont requires that parents submit a signed statement annually. Submit to school.

Signed by: Parent/guardian
Renewal: Annually.

Vermont Immunization Program — Official Health Department (opens in a new tab)

Personal belief Not available

Medical Available

Submit Form MCH-213M signed by a licensed physician (MD/DO), nurse practitioner, or physician assistant to the school.

Signed by: MD, DO, NP, or PA
Renewal: According to provider's certification.

Virginia Immunization Program — Official Health Department (opens in a new tab)

Religious Available

Parent/guardian completes and notarizes Form CRE-1. Submit notarized form to school.

Signed by: Parent/guardian (with notarization)
Renewal: Annually.

Virginia Immunization Program — Official Health Department (opens in a new tab)

Personal belief Not available

Medical Available

Submit form signed by a licensed physician (MD/DO), nurse practitioner, physician assistant, or naturopathic physician (ND) to the school.

Signed by: MD, DO, NP, PA, or ND
Renewal: According to provider's determination.

Washington Immunization Program — Official Health Department (opens in a new tab)

Religious Available

Parent/guardian must complete the Certificate of Exemption and have it signed by a healthcare provider. The provider's signature verifies that the parent received vaccine education — it does NOT mean the provider endorses the exemption. Submit completed COE to school.

Signed by: Parent/guardian with healthcare provider signature for education
Renewal: Annually.

Washington Immunization Program — Official Health Department (opens in a new tab)

Personal belief Available

Same process as religious exemption. Washington was the first state to require healthcare provider consultation for non-medical exemptions (2011 law).

Signed by: Parent/guardian with healthcare provider signature for education
Renewal: Annually.

Washington Immunization Program — Official Health Department (opens in a new tab)

Medical Available

Submit form signed by a licensed physician (MD/DO) to the school. The physician must state the specific medical contraindication.

Signed by: Licensed physician (MD or DO)
Renewal: Annually or as specified by physician.

West Virginia Immunization Program — Official Health Department (opens in a new tab)

Religious Not available

Personal belief Not available

Medical Available

Submit form signed by a licensed physician (MD/DO), nurse practitioner, or physician assistant to the school.

Signed by: MD, DO, NP, or PA
Renewal: According to provider's recommendation.

Wisconsin Immunization Program — Official Health Department (opens in a new tab)

Religious Available

Parent/guardian completes the form and submits to school. Notarization not required.

Signed by: Parent/guardian
Renewal: Annually.

Wisconsin Immunization Program — Official Health Department (opens in a new tab)

Personal belief Available

Parent/guardian completes the form and submits to school. Notarization not required.

Signed by: Parent/guardian
Renewal: Annually.

Wisconsin Immunization Program — Official Health Department (opens in a new tab)

Medical Available

Submit form signed by a licensed physician (MD/DO) to the school.

Signed by: Licensed physician (MD or DO)
Renewal: According to physician's direction.

Wyoming Immunization Program — Official Health Department (opens in a new tab)

Religious Available

Parent/guardian completes the form and submits to school. Notarization not required.

Signed by: Parent/guardian
Renewal: Annually.

Wyoming Immunization Program — Official Health Department (opens in a new tab)

Personal belief Not available

Medical Available

Submit form completed by a qualified health professional (physician, nurse practitioner, or registered nurse) to the school or public health unit.

Signed by: Physician, NP, or RN
Renewal: According to healthcare provider's direction.

Alberta Immunization Program — Official Health Department (opens in a new tab)

Religious Available

Parent/guardian completes the non-medical exemption form. Must be notarized or signed in the presence of a commissioner for oaths. Submit to school or public health.

Signed by: Parent/guardian (with notarization/commissioner)
Renewal: One-time submission; typically does not require annual renewal.

Alberta Immunization Program — Official Health Department (opens in a new tab)

Personal belief Not available

Medical Available

Submit form completed by a physician or nurse practitioner to the school or public health unit.

Signed by: Physician (MD) or Nurse Practitioner
Renewal: According to the healthcare provider's assessment.

British Columbia Immunization Program — Official Health Department (opens in a new tab)

Religious Available

Parent/guardian completes the form. BC does not require notarization. Submit to school or public health unit.

Signed by: Parent/guardian
Renewal: Typically one-time; may require re-submission if transferring schools.

British Columbia Immunization Program — Official Health Department (opens in a new tab)

Personal belief Not available

Medical Available

Submit form completed by a physician or nurse practitioner to the school. The form must state the specific medical contraindication.

Signed by: Physician or Nurse Practitioner
Renewal: As designated by the healthcare provider.

Manitoba Immunization Program — Official Health Department (opens in a new tab)

Religious Available

Parent/guardian completes the conscientious objection section. Must be signed by a commissioner for oaths or notary public.

Signed by: Parent/guardian (with commissioner for oaths/notary)
Renewal: One-time submission.

Manitoba Immunization Program — Official Health Department (opens in a new tab)

Personal belief Not available

Medical Available

Submit form completed by a physician or nurse practitioner. Include with the school immunization record.

Signed by: Physician or Nurse Practitioner
Renewal: According to the provider's statement.

New Brunswick Immunization Program — Official Health Department (opens in a new tab)

Religious Available

Parent/guardian completes the non-medical exemption form and submits to the school. No notarization required by the province.

Signed by: Parent/guardian
Renewal: One-time submission is generally sufficient.

New Brunswick Immunization Program — Official Health Department (opens in a new tab)

Personal belief Not available

Medical Available

Submit form completed by a physician or nurse practitioner to the school or public health nurse.

Signed by: Physician or Nurse Practitioner
Renewal: As indicated by the healthcare provider.

Newfoundland and Labrador Immunization Program — Official Health Department (opens in a new tab)

Religious Available

Parent/guardian completes the form. Not required to be notarized. Submit to school or public health.

Signed by: Parent/guardian
Renewal: One-time submission.

Newfoundland and Labrador Immunization Program — Official Health Department (opens in a new tab)

Personal belief Not available

Medical Available

Submit form completed by a physician or nurse practitioner to the school or public health unit.

Signed by: Physician or Nurse Practitioner
Renewal: According to provider's direction.

Northwest Territories Immunization Program — Official Health Department (opens in a new tab)

Religious Available

Parent/guardian must submit a signed written statement to the school or local public health unit explaining the religious or conscientious objection. Contact the local public health unit for specific requirements.

Signed by: Parent/guardian
Renewal: Annually, at beginning of school year.

Northwest Territories Immunization Program — Official Health Department (opens in a new tab)

Personal belief Not available

Medical Available

Submit form completed by a physician or nurse practitioner to the school.

Signed by: Physician or Nurse Practitioner
Renewal: According to the healthcare provider's determination.

Nova Scotia Immunization Program — Official Health Department (opens in a new tab)

Religious Available

Parent/guardian completes the form. Not required to be notarized. Submit to school.

Signed by: Parent/guardian
Renewal: One-time submission.

Nova Scotia Immunization Program — Official Health Department (opens in a new tab)

Personal belief Not available

Medical Available

Submit a letter from a physician or nurse practitioner stating the medical contraindication to the school or community health centre.

Signed by: Physician or Nurse Practitioner
Renewal: According to the healthcare provider's direction.

Nunavut Immunization Program — Official Health Department (opens in a new tab)

Religious Available

Parent/guardian should contact the local community health centre or school for the current exemption procedure. A signed, dated written statement is typically required. Individual communities may have specific forms.

Signed by: Parent/guardian
Renewal: Annually.

Nunavut Immunization Program — Official Health Department (opens in a new tab)

Personal belief Not available

Medical Available

Submit Form 014-4897-64 signed by a physician or nurse practitioner to the school. The form must specify which vaccines are medically contraindicated and the reason.

Signed by: Physician (MD) or Nurse Practitioner (NP)
Renewal: Must be updated if the medical condition changes; does not require automatic annual renewal.

Ontario Immunization Program — Official Health Department (opens in a new tab)

Religious Available

Parent/guardian must complete the Statement of Conscience or Religious Belief form AND complete a vaccine education session. The education session must be completed before the exemption form is processed. After completing education, submit the notarized (or commissioner-signed) form to the school.

Signed by: Parent/guardian (with notarization/commissioner, plus mandatory education session)
Renewal: One-time for the student's time at that school level. Education session must be completed once.

Ontario Immunization Program — Official Health Department (opens in a new tab)

Personal belief Not available

Medical Available

Submit a letter from a physician or nurse practitioner stating the medical contraindication. Contact Health PEI or the school for the most current procedures.

Signed by: Physician or Nurse Practitioner
Renewal: According to healthcare provider's direction.

Prince Edward Island Immunization Program — Official Health Department (opens in a new tab)

Religious Available

Parent/guardian must submit a signed, dated written statement explaining the religious or conscientious objection to the school. Contact the school or Public Health Nursing office for current forms and procedures.

Signed by: Parent/guardian
Renewal: One-time submission typically.

Prince Edward Island Immunization Program — Official Health Department (opens in a new tab)

Personal belief Not available

Medical Available

Submit a medical certificate from a physician or specialized nurse practitioner stating the specific contraindication. Include with the child's vaccination record at the school or CLSC.

Signed by: Physician (MD) or Specialized Nurse Practitioner (IPS)
Renewal: According to the healthcare provider's certification.

Quebec Immunization Program — Official Health Department (opens in a new tab)

Religious Available

Quebec does not have a standardized provincial exemption form for non-medical exemptions. Parent/guardian should provide a signed, dated written statement explaining the objection. The school/service de garde determines the sufficiency. Contact the local CLSC or school administration for current procedures.

Signed by: Parent/guardian (statement reviewed by school administration)
Renewal: Annually at school entry.

Quebec Immunization Program — Official Health Department (opens in a new tab)

Personal belief Not available

Medical Available

Submit form completed by a physician or nurse practitioner. Submit to the school or public health office.

Signed by: Physician or Nurse Practitioner
Renewal: According to the healthcare provider's assessment.

Saskatchewan Immunization Program — Official Health Department (opens in a new tab)

Religious Available

Parent/guardian completes the form. Saskatchewan requires the form to be notarized or signed before a commissioner for oaths. Submit to school or public health.

Signed by: Parent/guardian (with notarization/commissioner)
Renewal: One-time submission.

Saskatchewan Immunization Program — Official Health Department (opens in a new tab)

Personal belief Not available

Medical Available

Submit a letter from a physician or nurse practitioner stating the medical contraindication to the school or Yukon Communicable Disease Control.

Signed by: Physician or Nurse Practitioner
Renewal: According to the healthcare provider's direction.

Yukon Immunization Program — Official Health Department (opens in a new tab)

Religious Available

Parent/guardian must submit a signed, dated written statement to Yukon Communicable Disease Control (YCDC) or the school, stating the religious or conscientious objection. Contact YCDC at 867-667-8323 for current forms and procedures.

Signed by: Parent/guardian
Renewal: Annually.

Yukon Immunization Program — Official Health Department (opens in a new tab)

Personal belief Not available