Ga. Comp. R. & Regs. R. 511-2-2-.07 - Religious Objections to Required Immunizations
(a) Except as provided in subsection (b)
below, a child shall be exempt from the required immunizations if the parent or
legal guardian has filed with the school or childcare facility a completed
affidavit on DPH Form 2208.
(b)
When the Department or a County Board of Health determines that an epidemic or
the threat of an epidemic exists, the Department or Board shall immediately
notify the governing authorities of all schools and childcare facilities within
the affected area. Under those circumstances, the Department or Board may
require immunization for those who object on the grounds of religious beliefs,
and may prohibit attendance at schools or childcare facilities within the area
by unimmunized children.
(c)
Persons who wish to register a religious objection to the vaccination of their
child shall do so using the following DPH Form 2208:
AFFIDAVIT OF RELIGIOUS OBJECTION TO IMMUNIZATION
[Name of parent or legal guardian] personally appeared before the undersigned notary public and swore or affirmed as follows:
1. I am the parent or legal guardian of [name
of minor child], born on [date of birth].
2. I understand that the Georgia Department
of Public Health requires children to obtain vaccinations against the following
diseases before being admitted to a childcare facility or school: diphtheria;
haemophilus influenzae type B (not required on or after the fifth birthday);
hepatitis A; hepatitis B; measles; meningitis; mumps; pertussis (whooping
cough); pneumococcal disease (not required on or after the fifth birthday);
poliomyelitis; rubella (German measles); tetanus; and varicella
(chickenpox).
3. I understand that
the Georgia Department of Public Health has determined:
a. that the required vaccinations are
necessary to prevent the spread of dangerous diseases among the children and
people of this State;
b. that the
required vaccinations are safe;
c.
that a child who does not receive the required vaccinations is at risk of
contracting those diseases; and
d.
that a child who does not receive the required vaccinations is at risk of
spreading these diseases to me, to other children in the childcare facility or
school, and to other persons.
4. I sincerely affirm that vaccination is
contrary to my religious beliefs, and that my objections to vaccination are not
based solely on grounds of personal philosophy or inconvenience.
5. I understand that, notwithstanding my
religious objections, my child may be excluded from childcare facilities or
schools during an epidemic or threatened epidemic of any disease preventable by
a vaccination required by the Georgia Department of Public Health, and that my
child may be required to receive a vaccination in the event that such a disease
is in epidemic stages, as provided in Georgia Code Section
31-12-3 and DPH Rule
511-9-1-.03(2)(d).
This ____ day of ____________, ________.
___________________________________
Parent or Legal Guardian
Sworn and subscribed before me this ___ day of ________________, ______.
___________________________________
Notary Public
My commission expires _______________.
Notes
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