Missouri Vaccine Exemption Forms 2010 school year

Contrary to rumors begin spread by some employees calling themselves officials at local schools you DO NOT need to vaccinate your children for them to attend school.   The statute has changed some.

Here are the statutes covering vaccine exemption in Missouri.


Here is a cut out of the exact language.

2. Religious exemption. A child shall be

exempted from the immunization requirements
of this rule as provided in section
167.181, RSMo if one (1) parent or guardian
objects in writing to the school administrator
that immunization of that child violates
his/her religious beliefs. This exemption on
Department of Health Form Imm.P.11A shall
be placed on file with the school immunization
health record.
Here is a picture of the form.

Your school should have copies of this form on hand.  Don’t be surprised if they don’t.  Cut and past this one, print it out and sign it.  It is a legal document and must be accepted in place of a shot record for your child.

Proposition C made a strong statement that we the people will decide what is good for us.  We refuse government mandates when it comes to health care.

Please let me know if I can help further.


11 thoughts on “Missouri Vaccine Exemption Forms 2010 school year

  1. I’m having a huge problem with signing something that says, ” Unimmunized children have a greater risk of getting these vaccine-preventable diseases…”. The rule just says somehting “in writting” so I’m wondering why I have to sign THEIR form. Ugh…homeschooling is looking better and better.

    • It’s because THEY DO have a greater risk fo getting vaccine-preventable diseases. The numbers don’t lie. Look up the frequency of deaths prior to vaccine usage and compare them to frequency of deaths after vaccination.

      • Ah, the old time line association argument. Well, I have looked it up and I challenge you to look up this same time line argument comparing the installation of water treatment plants across the country and a steep drop in frequency of communicable diseases. You will find the introduction of the vaccine lags the actual drop in number of reported cases, sometimes by more than a decade. The vaccine story is a myth. It is the holy water to the myth of chemical medicine. This myth has made it’s priests vast fortunes praying off the good intentions of misinformed providers and trumped up fear in the general public.

  2. Here is a letter I have used.

    Dear school administrator,

    It is against my personal religious beliefs to inject man made foreign chemicals into my child’s body. As the ultimate party of responsibility I do hereby object to all immunizations and fluoride treatments.

    According to

    Missouri Revised Statutes

    Chapter 167
    Pupils and Special Services
    Section 167.181

    August 28, 2008

    3. This section shall not apply to any child if one parent or guardian objects in writing to his school administrator against the immunization of the child, because of religious beliefs or medical contraindications. In cases where any such objection is for reasons of medical contraindications, a statement from a duly licensed physician must also be provided to the school administrator.

    Further, I will consider any attempt to administer vaccines or fluoride treatments to my child an assault and criminal charges will be filed against the individual administering the assault, and all responsible administrators.

    Please feel free to contact me if there are any questions.


    Your name

    • Yes! Thank you! How would you like to be one of the contact people that we at Vaccination Liberation can send parents to?

      We have alot of people requesting exemptions for themselves and their children. There are so many that we are simply overwhelmed at times.

      I will now be following your blog. And good job with your answer to Neil.

  3. Be aware that the law allows for unvaccinated children to be excluded from school during outbreaks of vaccine preventable diseases.

    • That is a great idea! While all the kids who trusted in a noxious chemical are spreading the disease they are suppose to be protected from. I will be home schooling my kids and teaching them how to live independent honorable lives.

  4. Thanks for your help! My son is getting ready to go to Kindergarten and I have been worried about how to do this. I knew the health dept would not be excited to help me with this. But the school nurse was very helpful and she has the form and is faxing it to me. Thanks again!

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