**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 Jan 2019
Religious Exemption Form: https://health.wyo.gov/wp-content/uploads/2019/01/Religious-Waiver-Request-ENGL-1.2019.pdf
Medical Exemption Form: https://health.wyo.gov/wp-content/uploads/2019/01/Religious-Waiver-Request-ENGL-1.2019.pdf
Alternative Letter Option {Religious exemption}
Letter Template:
Updated as of Aug 2019
To Print Click "Download Arrow" on SCRIBD or click on Download file links below
To Print Click "Download Arrow" on SCRIBD or click on Download file 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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