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Religious exemption is not authorized or issued by schools or physicians. Every county health department issues a standardized approved religious exemption form (DH 681). This linked form is for informational purposes only. The health department will issue you the most up to date form.
This exemption is issued by a County Health Department (CHD) and based on established religious beliefs or practices only. Note: Please contact your local county health department for documentation required to obtain Form DH 681.
Children who are not vaccinated can transmit vaccine- preventable diseases at schools and in the community. Unvaccinated children can infect babies who are too young to be fully immunized. Unvaccinated children can infect people of any age who cant be immunized for medical reasons.
Children who are not vaccinated can transmit vaccine- preventable diseases at schools and in the community. Unvaccinated children can infect babies who are too young to be fully immunized. Unvaccinated children can infect people of any age who cant be immunized for medical reasons.
A religious exemption from vaccination must be obtained from a county health department. Religious exemption is not authorized or issued by schools or physicians. Every county health department issues a standardized approved religious exemption form (DH 681).

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I/we hereby assert that the immunization of this student would be contrary to the religious beliefs of this child. Therefore, this child shall be exempt from the required immunizations under New Jersey administrative Code N.J.A.C.
Parents or guardians may get and print the Certified Form 680s by visiting the Florida SHOTS website at .flshots.com. On the website homepage the parent will need to follow the instructions below to get their childs Certified 680. Click on the Parents Schools tab. Click on Get Started button.
Contact the Immunization Section A Permanent Medical Exemption, documented on the Form DH 680, can be granted if a child cannot be fully immunized due to medical reasons. In this case, the childs physician must state in writing, the reasons for exemption based on valid clinical reasoning or evidence.

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