Connecticut Vaccine Refusal Form

State:
Multi-State
Control #:
US-02738BG
Format:
Word; 
Rich Text
Instant download

Description

Vaccination laws are very state specific. This form is a generic example that may be referred to when preparing such a form for your particular state. It is for illustrative purposes only. Local laws should be consulted to determine any specific requirements for such a form in a particular jurisdiction.

Connecticut Vaccine Refusal Form is an official document provided by the state government of Connecticut that allows individuals to request exemption from mandatory vaccinations. The form serves as a legal declaration stating the individual's refusal to receive certain vaccines based on religious or medical grounds. The Connecticut Vaccine Refusal Form is designed to ensure that individuals who hold sincere religious beliefs or have valid medical reasons are granted an exemption from receiving specific vaccines required for school attendance or employment. This form is a vital tool to protect an individual's right to religious freedom and to respect their medical conditions that may contraindicate vaccinations. The Connecticut Vaccine Refusal Form contains several key sections where individuals are required to provide essential information. These details include the personal information of the individual requesting the exemption, such as name, address, contact information, and date of birth. It also collects information about the school or workplace from which the individual is seeking an exemption. Furthermore, the Connecticut Vaccine Refusal Form necessitates a clear statement explaining the reason for refusing vaccinations. There are typically two types of Connecticut Vaccine Refusal Forms: 1. Religious Exemption Form: The Religious Exemption Form allows individuals to assert their protected religious beliefs that prohibit the administration of certain vaccines. The form requires a detailed explanation of the religious tenets or doctrines that conflict with vaccination, emphasizing the individual's sincerely-held beliefs. 2. Medical Exemption Form: The Medical Exemption Form is specifically designed for individuals who have documented medical conditions, allergies, or compromised immune systems that prevent them from receiving certain vaccines. This form must be accompanied by supporting medical documentation from a qualified healthcare provider. It is important to note that while the Connecticut Vaccine Refusal Form allows individuals to refuse designated vaccines, it does not grant a blanket exemption from all vaccination requirements. Additionally, some specific vaccines may be mandatory for individuals claiming exemption due to significant health risks associated with specific diseases. In conclusion, the Connecticut Vaccine Refusal Form is an essential document that protects individuals' rights to religious freedom and medical exemptions. The Religious Exemption Form caters to those with religious objections to vaccines, while the Medical Exemption Form supports individuals with valid medical reasons. The state of Connecticut recognizes the importance of balancing public health initiatives with respect for personal beliefs and medical conditions.

How to fill out Connecticut Vaccine Refusal Form?

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FAQ

A federal judge has dismissed a lawsuit challenging a law passed last year that eliminated Connecticut's long-standing religious exemption from childhood immunization requirements for schools, colleges and day care facilities.

Connecticut requires immunizing school-aged children attending both public and private schools against the following diseases:measles, mumps, and rubella (preschool through grade 12);polio (preschool through grade 12);diphtheria, tetanus, and pertussis (preschool through grade 12);More items...

The law repeals the state's religious exemption from mandatory school vaccinations. Starting Sept. 1, children in pre-kindergarten, day care or who are new to the school system cannot claim the exemption. Children in kindergarten through 12th grade can still qualify for the exemption.

A federal judge has dismissed a lawsuit challenging a law passed last year that eliminated Connecticut's long-standing religious exemption from childhood immunization requirements for schools, colleges and day care facilities.

No. The State of Connecticut is not mandating vaccination, so you don't need to get vaccinated if you don't want to.

All employees working for the State of Connecticut are required to be fully vaccinated. Visit this page to learn more about Connecticut's vaccine requirements for workers.

By law, children age 6 months through 4 years who attend a licensed child care program and children age 24 months through 4 years who attend school must now receive an annual flu vaccination.

Parents who do not want to vaccinate their children attending school have three options: obtain a medical exemption to vaccinations, enroll in homeschooling or independent study without classroom instruction, or have their children evaluated and enrolled in special education services.

More info

University Health Services. Forms. COVID Vaccine Medical Exemption Form · Full Time & Part Time Students · Varsity Athletes. Health care workers in state agencies are claiming exemptions tothe bill that would repeal Connecticut's religious exemption from ...R23-17-HCW § 5.4 further states that any health care worker may refuse the annual seasonal influenza vaccination requirements described in the Regulations ... Thank you, in advance for your assistance. Your timely response is much appreciated. To request a medical exemption to vaccination, fill out the form here. If ... By S Leib · 2011 · Cited by 86 ? Increases in parental vaccine safety concerns and vaccine refusal potentiallyWe mailed the survey and a cover letter with a stamped, addressed return ... Visit GSA SmartPay to find state tax exemption forms and/or links directly to state websites. All Government Forms. Find federal forms and applications, by ... If you require a medical exemption from the university's immunization requirements please print, complete and upload this form to your student health portal. As this patient's physician, I am requesting that this patient have a medical exemption pertaining to the. COVID-19 vaccine. This patient has an underlying ... Guidance on the CMS Vaccine Mandate Religious Exemption FormMedical Exemption Form- HES101A · Vaccine Administration Record form for Children & Teens. As more and more employers are mandating COVID-19 vaccinations as a conditionThe form letters are available for free on his church and ...

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Connecticut Vaccine Refusal Form