Immunization Information

The statement must include the student's name and date of birth, the vaccine given and date (month/day/year) or each immunization, and the signature of a medical provider.

• Medical exemption written by a physician
• Religious exemption written by a parent

A medical exemption is a physician's certification that a particular immunization is detrimental to the child's health. It must state in writing that the child has a medical contraindication to receiving a vaccine and must be resubmitted to the school each year. As true medical contraindication to immunization are vaccine-specific, medical exemptions must be written for each vaccine that is contraindicated.

No. Only a licensed physician (M.D. or D.O.) can provide a medical exemption. A nurse practitioner or a physician's assistant under a physician's supervision can also give a medical exemption.

A religious exemption must state that the objection to immunization is based on religious grounds. Each objected immunization must be specified. The objection must be in writing, signed by the child's parent, and delivered to the school. There is no requirement of proof. The written religious objection must be resubmitted to the school each year.

No. Indiana law only allows religious and medical exemptions.

Yes. If a required immunization will not be complete by the first day, the parent must furnish a written statement and a time schedule approved by a physician or health department.