A.
A child who has reached a fifth birthday is exempt from the
Hib immunization requirement.
B.
A child who is 7 through 10 years of age is exempt from the
pertussis immunization requirement.
C.
A child:
1.
Until September 1, 2011, is exempt from the VA R
immunization requirement if the child's responsible person states, verbally or
in writing, that the child has had varicella; and
2.
After September 1, 2011, is not exempt from the VA R
immunization requirement unless the child provides laboratory evidence of
immunity to varicella.
D.
A child who submits laboratory evidence of immunity to a
disease to a school or child care is not required to be immunized against that
disease as a condition for school or child care entry.
E.
For a child attending a school, a parent or guardian shall
submit to the school a written statement of exemption from immunization for
personal beliefs as required in A.R.S. §
15-873(A)(1)
or written certification of medical
exemption as required in A.R.S. §
15-873(A)(2)
on a form provided by the Department that
contains:
1.
The child's name;
2.
The child's date of birth;
3.
The type of exemption requested;
4.
The immunizations from which the parent or guardian
is requesting an exemption;
5.
Whether the medical exemption is permanent or
temporary, if applicable;
6.
The date the medical exemption terminates, if
applicable;
7.
The parent or guardian's signature and the date
signed; and
8.
The physician's or registered nurse practitioner's
signature and the date signed, if applicable.
F.
For a child attending a child care, a responsible person
shall submit to the child care a written statement of exemption from
immunization on a form provided by the Department that
includes:
1.
The child's name,
2.
The child's date of birth,
3.
The type of exemption,
4.
The immunizations from which the responsible person
is requesting an exemption,
5.
If a medical exemption, whether the medical
exemption is permanent or temporary,
6.
If temporary, the date the medical exemption
terminates, if applicable,
7.
The responsible person's signature and the date
signed, and
8.
The physician's or registered nurse practitioner's
signature and the date signed, if applicable.
G.
A child care administrator or school administrator
shall:
1.
Record an exemption on a child's immunization
record,
2.
Allow a child with a temporary medical exemption to
attend a child care or school until the date the temporary exemption
terminates, and
3.
Notify a child's responsible person in writing of
the date the child is required to complete all immunizations before the
temporary medical exemption terminates.
A.
For a child attending a school, the child is exempt from the
applicable immunization requirements in
R9-6-702
for personal beliefs, as allowed by A.R.S. §
15-873(A)(1),
if the child's parent submits to the school a statement of exemption from
immunization for personal beliefs, in a Department-provided format, that
contains:
1. The parent's name,
2. The child's name,
3. The child's date of birth,
4. The immunizations from which the child's
parent is requesting an exemption,
5. A statement that the parent is requesting
the exemption based on personal beliefs, and
6. The signature of the child's parent and
the date signed.
B. For
a child attending a child care, the child is exempt from the applicable
immunization requirements in
R9-6-702
for religious beliefs, as allowed in A.R.S. §
36-883(C),
if the child's parent submits to the child care a statement of exemption from
immunization for religious beliefs, in a Department-provided format, that
contains:
1. The parent's name,
2. The child's name;
3. The child's date of birth;
4. The immunizations from which the child's
parent is requesting an exemption;
5. A statement that the parent is requesting
the exemption based on religious beliefs, and
6. The signature of the child's parent and
the date signed.
C. A
child is exempt from the applicable immunization requirements in
R9-6-702,
as allowed by A.R.S. §
15-873(A)(2),
if the child's parent submits to a school or child care a certification of
medical exemption from immunization, in a Department-provided format, that
contains:
1. The parent's name;
2. The child's name;
3. The child's date of birth;
4. The immunizations from which the child's
parent is requesting an exemption;
5. A statement that the parent is requesting
a medical exemption according to A.R.S. §
15-873(A)(2);
6. Statements from a physician or registered
nurse practitioner that:
a. The immunizations
specified according to subsection (C)(4) may be harmful to the child's
health;
b. Indicate the specific
nature of the medical condition or circumstance that precludes
immunization;
c. Indicate whether
the medical exemption is permanent or temporary; and
d. If the medical exemption is temporary,
provide the date the medical exemption ends;
7. The signature of the physician or
registered nurse practitioner providing the medical exemption and the date
signed; and
8. The signature of the
child's parent and the date signed;
D.
A child is exempt from the applicable immunization requirements
in
R9-6-702
due to immunity if the child's parent submits to a school or child care:
1. A certification of medical exemption from
immunization due to immunity, in a Department-provided format, that contains:
a. The parent's name;
b. The child's name;
c. The child's date of birth;
d. The name of each disease for which the
child's parent is requesting an exemption from immunization
requirements;
e. A statement that
the parent is requesting a medical exemption from immunization due to the
child's immunity to a disease;
f. A
statement from a physician or registered nurse practitioner that the physician
or registered nurse practitioner has determined that the child is immune to the
disease specified according to subsection (D)(1)(d), for which an exemption
from immunization requirements is being requested, based on:
i. For measles, rubella, or varicella, a
review by the physician or registered nurse practitioner of laboratory evidence
of immunity for the child; or
ii.
For a disease other than measles, rubella, or varicella, a review by the
physician or registered nurse practitioner of either:
(1) Laboratory evidence of immunity for the
child, or
(2) The medical records
of the physician or registered nurse
practitioner;
g. The signature of the physician or
registered nurse practitioner providing the medical exemption and the date
signed; and h. The signature of the child's parent and the date signed;
and
2. If applicable, a
copy of the laboratory evidence of immunity.
E. An administrator of a school or a child
care administrator shall:
1. Include a
child's exemption from the requirements in
R9-6-702
in the documentation required in
R9-6-705(A)(1);
and
2. If a child has a temporary
medical exemption:
a. Allow the child to
attend a school or child care until the date the temporary exemption ends;
and
b. At least 30 calendar days
before the temporary medical exemption ends, notify the child's parent in
writing of the date by which the child is required to complete all
immunizations.
