Connecting moms in Polk County, Fla.
Religious Objection to Immunization
Child's Name ______________________________
Parent's Name _____________________________
Dear School Officials and State Health Officials,
In accordance with Fla. Stat. § 1002.20, Fla. Stat. § 1003.22 and Fl. Admin Code § 64D-3.046, regarding exceptions to immunization requirements, we hereby certify that the administration of vaccine and other immunizing agents to our child, ______________________, conflicts with the tenets and practice of a recognized religion, of which we are adherents. We therefore request that our child be exempted from the school immunization requirements.
We are informed of and we fully understand the benefits of non-immunization for our child. We swear that all of the foregoing statements are true to the best of our information, knowledge, and belief.
Parent ________________________ Date _________
Subscribed and Sworn before me this _____ day of ___________, 2012.
Notary's Signature and Seal
TITLE 48. K-20 EDUCATION CODE
CHAPTER 1002. STUDENT AND PARENTAL
RIGHTS AND EDUCATIONAL CHOICES
PART II. STUDENT AND PARENTAL RIGHTS
Fla. Stat. § 1002.20 (2007)
§ 1002.20. K-12 student and parent rights
K-12 students and their parents are afforded numerous statutory rights including, but not limited to, the following:
(3) HEALTH ISSUES.
(a) School-entry health examinations. --The parent of any child attending a public or private school shall be exempt from the requirement of a health examination upon written request stating objections on religious grounds in accordance with the provisions of s. 1003.22(1) and (2).
(b) Immunizations. --The parent of any child attending a public or private school shall be exempt from the school immunization requirements upon meeting any of the exemptions in accordance with the provisions of s. 1003.22(5).
TITLE 48. K-20 EDUCATION CODE
CHAPTER 1003. PUBLIC K-12 EDUCATION
PART II. SCHOOL ATTENDANCE
Fla. Stat. § 1003.22 (2007)
§ 1003.22. School-entry health examinations; immunization against communicable diseases; exemptions; duties of Department of Health
(5) The provisions of this section shall not apply if:
(a) The parent of the child objects in writing that the administration of immunizing agents conflicts with his or her religious tenets or practices;
(b) A physician licensed under the provisions of chapter 458 or chapter 459 certifies in writing, on a form approved and provided by the Department of Health, that the child should be permanently exempt from the required immunization for medical reasons stated in writing, based upon valid clinical reasoning or evidence, demonstrating the need for the permanent exemption;
(a) No person licensed by this state as a physician or nurse shall be liable for any injury caused by his or her action or failure to act in the administration of a vaccine or other immunizing agent pursuant to the provisions of this section if the person acts as a reasonably prudent person with similar professional training would have acted under the same or similar circumstances.
(b) No member of a district school board, or any of its employees, or member of a governing board of a private school, or any of its employees, shall be liable for any injury caused by the administration of a vaccine to any student who is required to be so immunized or for a failure to diagnose scoliosis pursuant to the provisions of this section.
Fl. Admin Code § 64D-3.046 (2007)
64D-3.046 Immunization Requirements: Public and Nonpublic Schools, Grades Preschool, Kindergarten Through 12, and Adult Education Classes.
(a) Immunization and Documentation Requirements -
(b) A student may attend a public or non-public school, grades preschool through 12 or an adult education class if younger than 21, if prior to admittance, attendance or transfer, they present one of the following for inspection for validity by an authorized school official:
2. Documentation of receipt of or exemption from must be noted for the following immunizations: diphtheria, tetanus, pertussis, poliomyelitis, measles (rubeola), rubella, mumps, varicella and hepatitis B. The manner and frequency of administration of the immunizations shall conform to recognized standards of medical practice.
(2) Specific immunization requirements by grade, in addition to those in paragraph (1)(a), which must be documented prior to admittance, attendance or transfer:
(e) DH Form 681, Religious Exemptions for Immunizations (English/Spanish/Haitian-Creole) (February 2002), incorporated by reference, available at DOH CHDs, must be issued and signed by the local county health department medical director or designee.
(6) Florida SHOTS (State Health Online Tracking System) Opt Out Provision - Parents or guardians may elect to decline participation in the Florida immunization registry, Florida SHOTS, by submitting a Florida SHOTS Notification and Opt Out Form to the DOH. The form, either a DH Form 1478 (English) or DH Form 1478S (Spanish) or DH Form 1478H (Haitian-Creole), incorporated by reference, is available from the DOH, Bureau of Immunization, 4052 Bald Cypress Way, Bin # A-11, Tallahassee, FL 32399-1719. The immunization records of children whose parents choose to opt-out will not be shared with other entities that are allowed by law to have access to the child's immunization record via authorized access to Florida SHOTS.
And why don't the schools and/or your doctors tell you about the following information, either?
We have FEDERAL vaccine-injury reporting systems and FEDERAL compensation for those who are vaccine-injured. If vaccines were safe-and-effective, there would be no need for these programs. See the following links posted below if you need to report a vaccine-injury and/or get compensated for a vaccine-injury:
The Vaccine Adverse Event Reporting System (VAERS) is a national vaccine safety surveillance program co-sponsored by the Centers for Disease Control and Prevention (CDC) and the Food and Drug Administration (FDA). http://vaers.hhs.gov/index
National Vaccine Injury Compensation Program:
Also, you have to wonder why most doctors do not want you reading the warning labels that come with all vaccines. They think you are too stupid AND they are afraid that vaccination rates will fall.
The following news interview which includes a doctor from Houston is quite shocking, IMHO:
I have included his quote in the following compilation I put together:
Regarding vaccines, we were told these things with a straight-face by experts and officials
"My fear or concern is that if everybody took out the package insert would be that a lot of folks wouldn't understand the material, and any possible side effects that could happen must be listed - the FDA has us list that in the insert - and I'm afraid of the understanding - as a physician - of what we call adherence-compliance - I'm afraid that would go down, and our numbers are some of the lowest we have - in the area around Houston - we can do much better. I'm afraid reading the package insert would only make that worse."
Dr. Suzanne Humphries on Vaccines:
Lethal Injection: The Story Of Vaccination
Interview with Sherri Tenpenny about dangers of vaccines:
Mike Adams Interview with Dr. Sherri Tenpenny: Just Say No to Vaccines
Are there any of you out there who didn't know this exemption was an option but will now take advantage of it?
Hope you all are aware of the above info. It's very important.