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Page 1 of 4 THE UNIVERSITY OF THE STATE OF NEW YORK THE STATE EDUCATION DEPARTMENT REQUEST FOR RELIGIOUS EXEMPTION TO IMMUNIZATION FORM PARENT/GUARDIAN STATEMENT Name of Student Identification Number.

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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.

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.

This form must be completed by a physician (MD/DO) or Tennessee Department of Health Public Health Nurse (PHN) licensed in the State of Tennessee to document a true medical contraindication/precaution to an immunization(s). This document may be accepted by agencies that require proof of medical exemption.

It's been recommended for a decade. Most parents already choose to vaccinate their children. The meningococcal vaccine has been required for school entry since Sept. 1, 2016.

Children with medical or religious exemption to requirements The medical reason for the exemption does not need to be provided. Religious – This exemption requires a signed statement by the parent/guardian that vaccination conflicts with their religious tenets or practices.

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 ...

Religious Exemption. Children need not be immunized if the parent, guardian or emancipated child objects in writing to the immunization on religious grounds or on the basis of strong moral or ethical conviction similar to religious belief.

If you have a sincerely held religious or spiritual belief that you believe prevents you from receiving the COVID- 19 vaccine, you must sign and submit the request form for consideration through the WellSparkâ„¢ web-based application, smartphone app, dedicated WellSparkâ„¢ email address, or faxed copy.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232