Tennessee Vaccine Exemption Form For School
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FAQ
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.
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.
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.
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.
Tennessee Public Chapter 644 requires Tennessee employers with mandatory COVID-19 vaccination policies to grant an exemption to a staff member who has a medical exemption supported by a healthcare provider's signed statement or a sincerely held religious belief supported by a written attestation from the staff member ...