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Religious Exemption Forms

This folder has the Religious Exemption form provided by the Connecticut Department of Public Health and other pertinent religious exemption information, including other sample exemptions.

Pertinent Links
  • Another sample religious exemption - "How to Write a Letter for a Personal Religious Exemption from Immunizations"
  • Religious Exemption Article - "Inoculation Exemption Rights Expanded"

  • CT Religious Exemption Form
      Some parents have added the word "confirmed" prior to "vaccine-preventable disease outbreak in the school" in the exemption. This way a child may not be excluded from school for an incorrect disease diagnosis.

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