A child is exempt from the applicable immunization requirements in R9-6-702, as allowed by A.R.S. § 15-873(A)(2), if the child's parent submits to a school or child care a certification of medical exemption from immunization, in a Department-provided format, that contains: 1. The parent's name; 2. The child's name; 3.

Arizona Law requires that students entering Kindergarten have had the following vaccines: 5 doses of DTap, DTP, or DT. 4 doses of Polio (IPV) 3 doses Hepatitis B.

Thirteen States that ban vaccine mandates for employees: Arizona: Ban applies to all employers except healthcare.

California removed its personal and religious exemption option in 2015. Parent/guradian must complete an online educational module to receive a non-medical exemption. Connecticut removed its religious exemption option in 2021.

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. ADHS also respects the rights of parents to decide whether or not to vaccinate their child.

Arizona Administrative Code R9-6-706 Exemption from Immunizations The parent's name, The child's name, The child's date of birth, The immunizations from which the child's parent is requesting an exemption, A statement that the parent is requesting the exemption based on personal beliefs, and.

Religious exemption requires a signed statement by the parent/guardian that vaccination conflicts with their religious tenets or practices. If the child needs documentation of a health examination for the school, it must be noted by the healthcare provider on the immunization certificate.

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Place an "X" in the box to the left of the disease(s) listed to exempt your child from the vaccine. Initial and date the box on the right.Due to my religious beliefs, I request an exemption for my child from the required vaccine doses selected above. Affidavit of Immunization Exemption - For Children in Care (English) Number: CCA-1164A Effective Date: Monday, May 1, 2023 Type: Forms File: PDF I am aware that if I change my mind in the future, I can rescind this exemption and obtain immunizations for my child. This document is a religious exemption form for immunizations. It allows parents to opt-out of vaccinations for their children based on religious beliefs. A child is exempt from the applicable immunization requirements in R9-6-702 due to immunity if the child's parent submits to a school or child care: Yes. Arizona. Yes. Yes. Next, provide your initials and the date next to each selected vaccine.

Exempt Form For Immunizations In Arizona

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