Exempt Form For Immunizations In Pennsylvania

State:
Multi-State
Control #:
US-0032LTR
Format:
Word; 
Rich Text
Instant download

Description

The Exempt Form for Immunizations in Pennsylvania allows individuals to formally declare their exemption from required immunizations based on religious or medical grounds. This form is essential for parents or guardians seeking to enroll their children in schools or childcare facilities without complying with standard immunization requirements. Key features include clear sections for personal information, the basis for exemption, and required signatures. Users should fill out the form accurately and submit it to the relevant educational institution. Legal professionals, including attorneys, paralegals, and associates, may assist clients in completing this form, ensuring compliance with Pennsylvania state laws. The document's straightforward language accommodates users with varying levels of legal knowledge. Moreover, understanding this form can aid legal practitioners in advising clients on health rights and educational policies, making it a valuable resource in their practice.

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FAQ

Immunization waivers are required by students who wish to exempt themselves from required vaccinations for medical, religious, or philosophical objections. Please note: A student who has been exempt from a vaccination is still considered susceptible to the disease(s) for which the vaccine offers protection.

Log in to myUHS using your Penn State access credentials. Click on "View my clearances" to enter the dates of the required MMR and meningococcal conjugate vaccine. Upload an image or PDF file of your official immunization records and, if applicable, any positive antibody titer blood test results.

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.

Pennsylvania ChildLine investigators may attempt to construe your failure or refusal to vaccinate your children as another factor in substantiating abuse and neglect charges. Your name could end up in the state's ChildLine abuse and neglect registry, affecting your parental, employment, and other rights.

SCHOOL IMMUNIZATION REQUIREMENTS IN PENNSYLVANIA Parents, guardians, or caregivers of students seeking to enroll in grades K-12 are required to have their children immunized against various diseases to protect the health and safety of all students and their classmates.

Go to your Wellness Portal(link is external) and log in. Please note: you will be directed to your PennChart through myPennMedicine. If you do not have an account, you will need to click on "Activate an Account." Once logged in, follow these Immunization Requirements Submission Instructions(link is external).

All incoming Penn State students must provide proof of immunization against measles, mumps, and rubella.

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.

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Exempt Form For Immunizations In Pennsylvania