School Exemption Form (Preschool and Child Care)

Preschool and Child Care immunization requirements, with notes about exemptions, are summarized here:

This page links to an Ohio Department of Job and Family Services CHILD MEDICAL STATEMENT FOR CHILD CARE that also includes a section and checkbox for exemptions.
Downloadable PDF: JFS-01305

Ohio Department of Education (ODE) also licenses preschools and child care, and the ODE Child Medical Statement with buttons to mark exemptions can be found here:
Downloadable PDF: Licensing-Child-Medical-Statement

According to Ohio Revised Code 5104.014, a child is not required to be immunized if “The child’s parent or guardian has declined to have the child immunized against the disease for reasons of conscience, including religious convictions…” Moreover, “The medical statement shall include a component where a parent or guardian may indicate that the parent or guardian has declined to have the child immunized.”

However, some preschools/licensed child care centers are not including these exemptions on their medical statements. For that reason, OAMF is providing this statement for parents, which is consistent with the wording of the law.

Ohio Preschool Immunization Exemption Statement (PDF) – Checkbox style
Ohio Preschool Immunization Exemption Statement (PDF)

School Exemption Form (K-12)

Medical exemptions are typically completed by a physician and submitted to the school district. This form, based on one used by one of our member physicians, covers both religious and philosophical exemptions to vaccination and does not include any other unnecessary details.

Ohio K-12 Immunization Exemption Statement (PDF) – Checkbox style
Ohio K-12 Immunization Exemption Statement (PDF)

Vaccines for College/Higher Education

The Ohio Revised Code (ORC) Section 1713.55 states that beginning with the academic year that commences on or after July 1, 2005, an institution of higher education shall not permit a student to reside in on-campus housing unless the student (or the student’s parent if the student is younger than 18 years of age) discloses whether the student has been vaccinated against meningococcal disease and hepatitis B by submitting a meningitis and hepatitis B vaccination status statement.

Please note that Ohio law does not require vaccination of the student, nor does it require the institution to provide or pay for vaccines.  The law requires only disclosure of vaccination status of the student.

Information for School Boards

OAMF encourages you to educate your school personnel, district officers, and school board about the Ohio laws regarding vaccination and exemptions. Many schools are putting out information about the required vaccinations, but not including information about the right to file an exemption based on medical contraindications, religious beliefs, and reasons of conscience. PR Chair Stephanie Stock prepared this set of notes for presenting school boards with information to encourage them to publicize all parts of the law, not just the requirements.

School Board Exemption and Inury Talking Points (PDF)
School Board Exemption and Inury Talking Points (Word)