Tennessee Religious Exemption Form For Adults
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FAQ
Parents and guardians must get the certificate from their primary care provider, another licensed healthcare provider in Tennessee or a local health department. Be sure to keep copies of immunization records in a safe place.
It is morally wrong to receive a vaccine that used fetal cells in the development stage?the 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.
I have been advised my child or ward (named above) should receive the following vaccines, but I am declining to have my child immunized. Pursuant to Tennessee Code Annotated §49-6-5001(b)(2), I am declining vaccination(s) for my child because the vaccination(s) conflict with my religious tenets and practices.
Requesting a Religious Exemption An MSDH Religious Exemption Request (Form 139-R) must be completed, signed, and submitted to the County Health Department (appointment is required) by the child's parent or guardian. Appointments can be made by calling 855-767-0170.
Children with medical or religious exemption to requirements Religious: Requires only a signed statement by the parent/guardian that vaccination conflicts with their religious tenets or practices.