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Kentucky vaccine exemption form

Ky vaccine exemption form 2026

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The document is an Immunization Religious Exemption Form that allows parents or guardians to exempt their child from vaccinations due to religious beliefs. It outlines the importance of immunizations in preventing disease outbreaks and requires a written statement of objection. By signing, the parent acknowledges understanding the risks associated with not vaccinating and permits sharing of immunization records as required by law.

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Click ‘Get Form’ to open the ky vaccine exemption form in our editor.
Begin by entering the Patient ID number and Patient Name at the top of the form. Ensure that all information is accurate for proper identification.
In the section labeled 'I swear or affirm that I object to having my child...', fill in your child's name and date of birth. This personalizes the exemption request.
Check the boxes next to each vaccine you are exempting your child from. Make sure to review the list carefully to ensure all relevant vaccines are included.
Provide a reason for the exemption in the designated space. This statement should reflect your religious beliefs regarding vaccinations.
Enter your name as a parent or guardian, and sign where indicated. If applicable, have a physician or authorized individual sign as well, along with their date signed.

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What if I refuse to vaccinate my child?

Pediatricians and other health care providers may decide it is in their best interest to formally document a parents refusal to accept vaccinations/immunizations for a minor child. This form, which should not be considered a legal document without advice from a lawyer, may be used for such documentation.

Is it illegal to not vaccinate your child in Kentucky?

KRS 214.036 states, in summary, Nothing shall be construed to require the immunization of any child at a time when, in the written opinion of his or her attending medical provider, [it] would be injurious to the childs health.

What are the exemptions for vaccines in Kentucky?

Religious Exemption: The state provided form for religious exemptions is EPID 230A Commonwealth of Kentucky Parent Form EPID 230A or Guardians Declination on Religious Grounds to Required Immunizations. This is the form to provide to daycares, preschools, and K-12 schools in place of an immunization record.

How do you get a vaccine exemption?

To get a medical exemption, parents need to have their childs doctor sign a form. Many states ask whether the exemption is temporary or permanent.

How to get a medical exemption for vaccines in KY?

Medical Exemptions: The state form, EPID 230 the Kentucky Certificate of Immunization Status, contains a checkbox for Medical Exemption. This is the same form used to document all vaccines that a child has received. The form can be signed by a physician, APRN, PA, pharmacist, LHD administrator, RN or LPN designee.

kentucky religious exemption form

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What are religious reasons for not being vaccinated?

Objection to vaccination was also related to: faith in divine protection and healing for Protestants, Catholics, Jewish and Muslims (10); the use of aborted fetal cells for vaccines production among Amish and Catholic communities (including during the COVID-19 outbreak when Senior Catholic leaders from the US and