Exempt Form For Immunizations In Wake
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Medical exemptions for required immunizations will only be granted upon submission of either a Medical Exemption Statement (DHHS 3987) or Physicians Request for Medical Exemption (DHHS 3995). Both of these exemptions require a signature by a Physician in North Carolina.
California removed its personal and religious exemption option in 2015. Parent/guradian must complete an online educational module to receive a non-medical exemption. Connecticut removed its religious exemption option in 2021.
Religious Exemption Affidavit of Religious Objection to Immunization, Form 2208 is required. After completion of the affidavit, the parent or legal guardian must have the form filed with the school or childcare facility the child will be attending as legal documentation of exemption from the required immunizations.
Medical exemptions for required immunizations will only be granted upon submission of either a Medical Exemption Statement (DHHS 3987) or Physicians Request for Medical Exemption (DHHS 3995). Both of these exemptions require a signature by a Physician in North Carolina.
The Campus Health Committee has announced a change in Wake Forest's vaccination requirements: Effective , Wake Forest will strongly recommend that all faculty, staff and students remain up to date with COVID-19 vaccines, including variant-updated boosters.
Every parent, guardian, person in loco parentis and person or agency, whether governmental or private, with legal custody of a child shall have the responsibility to ensure that the child has received the required immunization at the age required by the Commission.
I, __________________________________ am requesting a religious exemption from vaccination against the disease(s) or condition(s) marked below. I understand that this exemption is allowed solely for sincerely held religious beliefs and not for political, social, or other personal views.
Students must receive vaccination against diphtheria, tetanus, pertussis, polio, MMR, hepatitis B, and varicella. The requirement does not apply to students residing off-campus and registering for off-campus, evening or weekend courses or no more than four-day credit hours of on-campus courses.
'Conscientious objection' (CO) to vaccination may be based on religious, moral, or philosophical convictions, such as the conviction that health and disease should not be controlled by vaccination, or that governments should not coerce citizens into receiving medical interventions.
