CERTIFICATE OF IMMUNIZATION Name: Birth Date: Immunizations refused 2025

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Ultimately, the parent has a right to refuse any medical intervention or treatment for their child, including a vaccine. Their decision, however, may conflict with a pediatricians advice.
For parents who refuse one or more recommended immunizations, document your conversation, the provision of the VIS(s), and have the parent sign the vaccine refusal form and keep the form in the patients medical record.
Vaccine hesitancy is a relatively new term used in research over the past few years to describe anyone who is doubtful about vaccinations or who chooses to delay or refuse immunizations even when they are readily available.
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
The only valid reasons for medical exemptions for immunizations are: An allergic or other serious reaction to the same vaccine in the past. The physician who ordered the first one and witnessed the reaction would be glad to write the exemption. This is, however, extremely rare with todays vaccines.
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For healthcare providers who want to assure that these parents fully understand the consequences, Immunize.org has produced a form titled Record of Vaccine Declination. This form facilitates and documents the discussion that a healthcare professional can have with parents about the risks of not having their child
All states allow exemptions from school immunization requirements for children who are unable to receive vaccines for medical reasons. State laws vary regarding non-medical exemptions, for religious or personal reasons. Personal exemptions are also referred to as philosophical exemptions by some states.

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