The Georgia Vaccine Exemption Form allows parents or guardians to exempt their children from vaccinations based on religious beliefs. Under Georgia law, if a parent objects to immunization on these grounds, they must provide an affidavit to the school or facility stating their beliefs. For those considering this option, filling out the form is a crucial step; click the button below to get started.
The Georgia Vaccine Exemption Form provides a pathway for parents or legal guardians to exempt their children from mandatory vaccinations based on religious beliefs. This form is rooted in the Official Code of Georgia Annotated § 20-2-771 4.(e), which acknowledges the rights of parents to refuse immunizations when such actions conflict with their faith. To initiate the exemption process, a parent or guardian must complete an affidavit affirming their religious objections and submit it to the appropriate school or facility official. The form requires specific details, including the names of the child and the parent or guardian, and a list of vaccines from which the child is being exempted. It is important to note that while this exemption is recognized, vaccinations may still be mandated during outbreaks of certain diseases. Additionally, the form emphasizes the importance of making informed decisions regarding vaccinations, outlining potential risks and encouraging thorough research on the subject. Parents are reminded to consider their child’s health history and the implications of both vaccination and non-vaccination before making a final decision.
VACCINATION EXEMPTION PURSUANT TO THE
OFFICIAL CODE OF GEORGIA ANNOTATED § 20-2-771
4.(e) This Code section shall not apply to a child whose parent or legal guardian objects to immunization of the child on the grounds that the immunization conflicts with the religious beliefs of the parent or guardian; however, the immunization may be required in cases when such disease is in epidemic stages. For a child to be exempt from immunization on religious grounds, the parent or guardian must first furnish the responsible official of the school or facility an affidavit in which the parent or guardian swears or affirms that the immunization required conflicts with the religious beliefs of the parent or guardian.
________________________________________________________________________________
VACCINE EXEMPTION FORM
I,____________________________, as the parent, guardian or person in
(insert your name)
loco parentis of the child __________________________, hereby certify that the
(insert your child’s name)
administration of any vaccine or other immunizing agents is contrary to our religious beliefs.
Diphtheria
Measles
Other
Tetanus
Mumps
Pertussis
Rubella
Polio
Haemophilus influenzae type b
Hepatitis B
Varicella
Smallpox
Anthrax
This is pursuant to my right to refuse vaccination on the grounds that vaccinations conflict with my religious beliefs. Pursuant to Georgia statute I am providing a copy of this statement to our child’s school administrator or operator of the group program pursuant to
O.C.G.A. § 20-2-771 (4e).
Parent __________________________________ Date _______________
Subscribed and Sworn before me this _____ day of ___________, 20____.
________________________________________
Notary's Signature and Seal
Making Informed Decisions
Your decision to vaccinate or not should be an informed decision. Vaccines can cause severe injuries such as seizures, death, anaphylaxis, brain damage and other reactions. The type and severity of reactions may vary from vaccine to vaccine and child to child. The effects of a vaccine injury may be temporary or permanent. If you notice any changes in your child’s condition after receiving a vaccine, you should contact your doctor immediately or go to a hospital. Vaccines have never been proven to be safe or effective and your child may contract the disease even if he is vaccinated. What has been proven is that you can get the disease from the vaccine or from coming into contact with a recently vaccinated person. The polio vaccine is just one example. It is a known fact that most healthcare providers do not fully inform patients of the side effects a vaccine can have on the body, brain and immune system. Because of the highly toxic ingredients all vaccines contain, you should thoroughly research vaccines for yourself before making such an important decision. DO NOT allow someone else, even your healthcare provider, scare or force you into making this decision without being fully informed. Many healthcare providers have not researched vaccine history or toxicology and are not fully informed.
Always provide a detailed history of your child’s health to your doctor. Make sure they know of allergies, neurological problems, nutritional deficiencies, any immune system disorder and skin diseases such as eczema. Most physicians and nurses do not warn parents that if their child’s health is compromised in any way, such as having a common cold or previous reaction to a vaccine, they should not receive vaccines.
Benefits of Non-Vaccination
When you choose to not vaccinate your child, you have the responsibility to educate yourself on how to maintain the well-being of not only their body but also their mind and spirit as well. Childhood diseases can result in minor symptoms to severe complication or death depending on the child’s immune system and treatment protocols followed. The stronger the immune system, the less severe are the symptoms of the disease. A child that goes through the full expression of the disease (i.e. fever and skin eruptions, without suppressing any of these symptoms) usually acquires immunity from that disease for life. Good nutrition and cleanliness play a major role. The risk of contracting various diseases can vary over time or locality. Symptoms or complications of these diseases may be treatable by alternative methods or may resolve without treatment. Educate yourself on childhood diseases from informed alternative sources. Fear of these diseases comes from not being properly informed.
For More Information
To make a truly informed decision there are numerous sources of information on the risks of vaccines and the risks and benefits of childhood diseases. Sources of information to determine if the risks associated with vaccines outweigh any perceived benefits include: vaccine package inserts, the Physicians Desk Reference, the U.S. Center for Disease Control and Prevention, public and medical libraries or state and local health agencies. (NOTE: These sources do not give complete and total information on vaccine ingredients and their toxicity, nor do they provide accurate statistics.) Vaccination Liberation – www.vaclib.org or (888) 249-1421
National Vaccine Information Center – www.909shot.com or (800) 909-SHOT / (703) 938-0324
(NOTE: The two websites above, Vaccination Liberation and the National Vaccine Information Center, have proven to be excellent sources for extensive vaccine information.)
Reporting Reactions
If you do decide to vaccinate, report vaccine reactions to the Vaccine Adverse Event Reporting System (800) 822- 7969. Always get the vaccine name, vaccine manufacturer and lot number. Keep records of day to day reactions from the time of vaccination for at least 6 months to 2 years, no matter how slight the reactions. Long-term effects of vaccines have not been well documented by the allopathic community and are just now being researched. If your child has been injured by a vaccine, he may be eligible for compensation under the National Vaccine Injury Compensation Program.
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Revised 6/03 Source: Vaccination Liberation, P.O. Box 457, Spirit Lake, ID 83869
This form may be reproduced
After completing the Ga Vaccine Exemption form, the next step involves submitting it to the appropriate school administrator or operator of the group program. This will ensure that your request for exemption is officially recognized and documented.
What is the purpose of the Georgia Vaccine Exemption form?
The Georgia Vaccine Exemption form allows parents or guardians to exempt their child from mandatory vaccinations based on religious beliefs. This form must be submitted to the school or facility where the child is enrolled, affirming that the required immunizations conflict with the family's religious convictions.
Who can sign the Vaccine Exemption form?
The form can be signed by a parent, guardian, or any individual acting in loco parentis, which means someone who has the legal authority to make decisions for the child. It is essential that the person signing the form has the appropriate legal standing to do so.
What information is required on the form?
The form requires the name of the child and the name of the parent or guardian. Additionally, it includes a declaration stating that the administration of vaccines is contrary to the signer's religious beliefs. The specific vaccines for which the exemption is requested should also be indicated.
Can a child still be required to get vaccinated during an epidemic?
Yes, the law allows for mandatory vaccinations during an epidemic. If a disease is in epidemic stages, the school or facility may require immunizations despite the exemption. This provision aims to protect public health during outbreaks.
What should I do if my child has an adverse reaction to a vaccine?
If your child experiences any adverse reactions following vaccination, it is crucial to contact your healthcare provider immediately. Document all reactions and report them to the Vaccine Adverse Event Reporting System (VAERS) to ensure that the information is recorded and addressed.
How can I make an informed decision about vaccinations?
To make an informed decision, research both the risks associated with vaccines and the potential consequences of childhood diseases. Utilize reliable sources, such as vaccine package inserts, the CDC, and reputable organizations like the National Vaccine Information Center. It is important to gather comprehensive information before deciding.
What are the benefits of choosing not to vaccinate?
Choosing not to vaccinate requires a commitment to understanding how to maintain your child's health through nutrition and holistic practices. Some believe that natural exposure to childhood diseases can lead to lifelong immunity. It is essential to educate yourself about alternative health methods and the potential risks of vaccination.
What should I do if I need more information about vaccine exemptions?
If you seek additional information, consider reaching out to local health agencies, public libraries, or organizations dedicated to vaccine education. Websites like Vaccination Liberation and the National Vaccine Information Center offer extensive resources and insights into vaccination and exemption options.
When filling out the Georgia Vaccine Exemption form, individuals often make several common mistakes that can lead to complications. One significant error is failing to provide the required information accurately. This includes not clearly stating the name of the parent or guardian and the child. Omitting this information can result in the form being rejected or delayed, which could affect the child's enrollment in school or daycare.
Another frequent mistake is not signing the affidavit in front of a notary public. The form explicitly states that the affidavit must be subscribed and sworn before a notary. If this step is overlooked, the form may not be considered valid. Parents and guardians should ensure they complete this crucial step to avoid any issues with the exemption process.
Some individuals also neglect to specify which vaccines they are exempting their child from. The form lists several vaccines, such as Diphtheria, Measles, and Polio. Failing to mark the appropriate vaccines can lead to confusion and may result in the school or facility not recognizing the exemption. It is essential to clearly indicate all applicable vaccines to ensure the exemption is honored.
Additionally, people sometimes misunderstand the religious grounds for the exemption. The form requires a clear statement that the vaccinations conflict with the religious beliefs of the parent or guardian. If this statement is vague or not adequately expressed, it may not meet the legal requirements for exemption. Parents should take care to articulate their beliefs clearly and concisely in the affidavit.
Lastly, individuals may submit the form without providing a copy to the school administrator or operator of the group program. The law requires that a copy of the statement be given to the responsible official. Not doing so can lead to misunderstandings and potential issues with the child's enrollment. It is important to keep a record of this submission for future reference.
When submitting the Georgia Vaccine Exemption form, there are several other documents that may be required or beneficial to accompany it. These documents help clarify your position and ensure that all necessary information is communicated effectively. Below is a list of commonly used forms along with a brief description of each.
Each of these documents plays a crucial role in the exemption process. By preparing and submitting them alongside the Georgia Vaccine Exemption form, you can ensure that your request is complete and clearly articulated. Always keep copies of all submitted documents for your records.
The Georgia Vaccine Exemption form shares similarities with several other documents used for similar purposes. Each of these documents serves to assert an individual's rights regarding vaccination exemptions based on personal beliefs or health concerns. Below is a list of nine such documents:
Understanding these documents can help individuals navigate their rights and responsibilities regarding vaccinations. Each serves a distinct purpose while reflecting the importance of informed decision-making in health care.
When filling out the Georgia Vaccine Exemption form, it’s important to be careful and thorough. Here are some things you should and shouldn't do:
Misconceptions about the Georgia Vaccine Exemption form can lead to confusion and misinformed decisions. Here are six common misconceptions clarified:
The exemption is not automatic. Parents or guardians must submit an affidavit stating their religious objections to vaccination.
This form specifically addresses exemptions based on religious beliefs. It does not apply to medical exemptions or personal beliefs.
Schools can still require vaccinations during epidemics, even if a religious exemption is filed. This is an important detail for parents to understand.
A notary’s signature is required to validate the affidavit. Submitting the form without this step may render it invalid.
Parents must educate themselves about the potential risks and benefits of vaccines. This responsibility is crucial when making informed decisions.
Vaccine injuries can occur, and parents should be aware of the potential for severe reactions. Reporting any adverse reactions is essential for monitoring safety.
Filling out the Georgia Vaccine Exemption form can seem daunting, but understanding a few key points can make the process smoother. Here are some important takeaways:
By keeping these points in mind, you can navigate the exemption process more effectively and make informed choices for your child's health.