Vaccine Exemption Forms & Letters For Pennsylvania, Louisiana, and Maryland

More exemption forms and letters for the following states. We will be adding more forms to this, if we find more of them in the same states.

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Pennsylvania:

Statement of Exemption to Immunization Law
Commonwealth of Pennsylvania

Medical exemption - when the physical condition of the child is such that immunization would endanger life or health. (Requires Physician's signature.)

Religious exemption –when the parent/guardian adheres to a religious belief whose teachings are opposed to such immunizations. (Requires parent/guardian signature.)

Statement of Exemption to Immunization Law:
Commonwealth of Pennsylvania

http://www.woodmed.com/html/Exemption_to_Immunization_Law.html

http://experimentalvaccines.org/wp-content/uploads/2013/06/Pennsylvania-Statement-of-Exemption-to-Immunization-Form.pdf

Statement of Exemption to Immunization Law:
Commonwealth of Pennsylvania
http://www.pbsd.k12.pa.us/Downloads/Religious%20Exemption%20Form2.pdf

[PDF] immunization exemption letter - pamfa
http://pamfa.org/wp-content/uploads/2017/04/SAMPLE-EXEMPTION-LETTER.pdf

[DOCX] immunization exemption letter - pamfa
http://pamfa.org/wp-content/uploads/2017/04/SAMPLE-EXEMPTION-LETTER.docx


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Louisiana:

STATEMENT OF EXEMPTION FROM IMMUNIZATIONS
Louisiana Dept. of Education
https://www.louisianabelieves.com/docs/default-source/early-childhood/statement-of-exemption-from-immunizations.pdf

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Maryland:

VACCINATION EXEMPTION PURSUANT TO THE MARYLAND STATUTE § 7-403
§7-403 (b) Exception.
(1) Unless the Secretary of Health and Mental Hygiene declares an emergency or an epidemic of disease, a child whose parent or guardian objects to immunization on the ground that it conflicts with the parent’s or guardian’s bona fide religious beliefs and practices may not be required to present a physician’s certificate of immunization in order to be admitted to school
(2) The Secretary of Health and Mental Hygiene shall adopt rules and regulations for religious exemptions under this subsection.
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VACCINE EXEMPTION FORM

http://www.dswashington.org/files/dswashington/Dateien/b2013/Verwaltung/12_04_11_Vaccination_Exemption.pdf

http://www.brainfoodcookbook.com/ExemptionVacLib-Maryland.pdf

http://experimentalvaccines.org/vaccine-exemption-forms/maryland/

Or you can sign off at the bottom of the Maryland Certificate of Immunization.
https://www.barrie.org/uploaded/Camp_Files/ImmunizationCertificate.pdf

https://www.barrie.org/uploaded/Camp_Files/ImmunizationCertificate.pdf

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Page 11 of the Tripedia Package insert.  Adverse Reactions & Adverse Events.  *** Adverse events reported during *post-approval* use of Tripedia vaccine include idiopathic thrombocytopenic purpura, SIDS, anaphylactic reaction, cellulitis, AUTISM, convulsion/grand mal convulsion, encephalopathy, hypotonia, neuropathy, somnolence and apnea. Events were included in this list because of the seriousness or frequency of reporting. Because these events are reported voluntarily from a population of uncertain size, it is not always possible to reliably estimate their frequencies or to establish a causal relationship to components of Tripedia vaccine.2

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http://www.getcancercure.com/wp-content/plugins/download-attachments/includes/download.php?id=2038

Archived:  ucm101580.pdf

https://vaccines.procon.org/sourcefiles/DTaP_Tripedia.pdf

http://www.whale.to/vaccine/DTap.pdf

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