**PLEASE NOTE** Significant changes were added into the new Religious Waivers released in May 2018 that now includes the following statement implying liability of death & injury for parents with Religious Convictions.
“Exempting my child from any or all required vaccine(s) may result in serious illness, disability, or death to my child or others. I understand the risks and possible outcomes of my decision to exempt my child.“
While we cannot advise you on what to do, please proceed with caution, it is a legally acceptable alternative to write a letter requesting religious waiver approval, as some are not comfortable with the legal implications of the new wording on the current forms. You need one form/letter for each child.
*Forms Updated as of 2021
Wyoming Health Dept. Religious Exemption Form: https://health.wyo.gov/wp-content/uploads/2021/05/Religious-Waiver-Request-ENGL-8.2021.pdf
Wyoming Health Dept. Medical Exemption Form: https://health.wyo.gov/wp-content/uploads/2021/11/Medical-Waiver-Request-ENGL-11.2021.pdf
Alternative Letter Option {Religious exemption}
Letter Template:
Preview on SCRIBD and click to Download file template links below
Letter Template:
Preview on SCRIBD and click to Download file template links below
| religious_exemption_template.docx |
| religious_exemption_template.pdf |
Submit Forms to
- Your local County Health Officer, or
- The State Health Officer at Wyoming Department of Health, 6101 Yellowstone Road, Suite 420, Cheyenne, WY 82002, Attn: Immunization Exemptions.
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