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Kentucky vaccine exemption form

Ky vaccine exemption form 2025

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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 informs the signatory of the risks associated with not vaccinating. The form requires personal information, a list of vaccines for exemption, and signatures from both the parent and a healthcare provider.

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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 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 before proceeding.
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.
Finally, ensure all fields are completed and review your entries for accuracy before saving or exporting your document.

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What are the excuses for not getting vaccinated?

Appendix I choose not to get any vaccines. I had COVID-19 recently, so the vaccine was unnecessary. I am not concerned about getting sick with COVID-19. My chances of getting infected with COVID-19 are low. I am allergic to the vaccine or there is another medical reason I cannot get the vaccine.

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.

What is the religious exemption to vaccines?

Modal title StatePersonal ExemptionReligious Exemption California No No Colorado Yes Yes Connecticut No No Delaware No Yes47 more rows

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

How to obtain religious exemption for vaccines?

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.

kentucky religious exemption form

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Can I refuse vaccines for my newborn in Kentucky?

KRS 214.036 requires parents who object to immunization of their child to provide a written sworn statement objecting to immunization of the child on religious grounds. Place an X in a box or boxes to the left of each disease, listed below, for which you object to your child receiving the immunization.

What are some religious objections to the COVID vaccine?

It is morally wrong to receive a vaccine that used fetal cells in the development stagethe most commonly cited religious objection to the vaccines; The body is a temple that should not receive foreign or unnatural substances, and God will protect the body from sickness; and.