Vaccination exemption form.

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  • (1) The department shall:
    • (a) develop a vaccination exemption form that includes only the following information:
      • (i) identifying information regarding:
        • (A) the student to whom an exemption applies; and
        • (B) the legally responsible individual who claims the exemption for the student and signs the vaccination exemption form;
      • (ii) an indication regarding the vaccines to which the exemption relates;
      • (iii) a statement that the claimed exemption is for:
        • (A) a medical reason; or
        • (B) a personal or religious belief; and
      • (iv) an explanation of the requirements, in the event of an outbreak of a disease for which a required vaccine exists, for a student who:
        • (A) has not received the required vaccine; and
        • (B) is not otherwise immune from the disease; and
    • (b) provide the vaccination exemption form created in this Subsection (1) to local health departments.
  • (2)
    • (a) Each local health department shall designate one or more individuals from within the local health department as a health official to consult, regarding the requirements of this part, with:
      • (i) parents, upon the request of parents;
      • (ii) school principals and administrators; and
      • (iii) licensed health care providers.
    • (b) A local health department may designate a licensed health care provider as a health official designee to provide the services described in Subsection (2)(a).
  • (3)
    • (a) To receive a vaccination exemption form described in Subsection (1), a legally responsible individual shall complete the online education module described in Section 26-7-9, permitting an individual to:
      • (i) complete any requirements online; and
      • (ii) download and print the vaccine exemption form immediately upon completion of the requirements.
    • (b) A legally responsible individual may decline to take the online education module and obtain a vaccination exemption form from a local health department if the individual:
      • (i) requests and receives an in-person consultation at a local health department from a health official or a health official designee regarding the requirements of this part; and
      • (ii) pays any fees established under Subsection (4)(b).
  • (4)
    • (a) Neither the department nor any other person may charge a fee for the exemption form offered through the online education module in Subsection (3)(a).
    • (b) A local health department may establish a fee of up to $25 to cover the costs of providing an in-person consultation.




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