religious exemption vaccination sample letter

This federal program was created so that, in the unlikely event that you experience a serious injury from a covered 'countermeasure', you may be considered for benefits. The religious exemption request should state in writing that a vaccine conflicts with the individual’s sincerely held religious belief.Īdverse effects of vaccines: evidence and causality, Institute of Medicine of the National Academies, 2011.Ĭoncludes that 'few health problems are caused by or clearly associated with vaccines.'Ĭountermeasures Injury Compensation Program (CICP). A letter from the parent/guardian or the individual seeking exemption can be used.

Unless one is provided by an organization, there is no official form. Contact the organization you are requesting an exemption from to see what their requirements are. 'Medical exemptions come from the student’s doctor and document a contraindication - the reason why an individual cannot medically receive the vaccine.' Department of Public Health's School immunizations web page: Vaccination exemption formsĪs provided on the Mass. Used to object to sharing your immunization information with healthcare providers other than the provider who administered your immunization(s). Used to report significant adverse events that occurred after vaccination of adult or child.Įnglish - MIIS objection (or withdrawal of objection) form, Mass. FormsĪdverse reaction reporting form, Federal Vaccine Adverse Reaction Reporting System. The court held that the hospital had given the employee reasonable accommodation and that the exemption would cause an undue hardship for the hospital. (April 5, 2016)Ī hospital employee was not entitled to a religious exemption from a requirement for all employees who worked with patients to get a flu shot. Here, the court construes the language in that statute that exempts students on the basis of religious beliefs. 76, § 15C requires students in health science programs, who come in contact with patients, to be immunized against various communicable diseases. MGH Institute of Health Professionals and Partners Healthcare System, Inc.

Supreme Court affirmed, ruling that the program had a real or substantial relation to the protection of the public health and safety.

The Massachusetts Supreme Judicial Court held that the vaccination program was constitutional. Jacobson challenged mandatory smallpox vaccination as an unreasonable invasion of his liberty.

Religious exemption vaccination sample letter