![]() ![]() For data requests for media and research purposes, please complete the Data Request Form.By State School Immunization Law, a Religious Exemption can only be issued to kindergarten through 12th grade and not to institutions of higher learning. The parent or legal guardian must submit a written objection and receive education on the consequences of not immunizing their child. A Certificate of Religious Exemption can only be issued by a county health department.Jackson Hospital has a 93% Hep B birth dose coverage rate and is among 532 honorees. The Immunization Action Coalition (IAC) is pleased to announce Jackson Hospital, in Montgomery, is one of four institutions accepted into the Hepatitis B Birth Dose Honor Roll.Visit Hepatitis A Outbreak for the latest information on the recent outbreak. Current Hepatitis A virus continues to spread and raise alarm among local health officials.If you need your immunization record or Certificate of Immunization (COI), please contact the provider or county health department who administered your vaccines, or ask your current provider if they have access to Alabama's immunization registry, ImmPRINT, to locate your record. ![]() Don't wait! Consult the catch-up immunization scheduler and check with your child's physician before the school year starts. For additional information, visit Vaccines for Children Program, Cancer Prevention Vaccines, Immunization Schedules and Vaccination Information Statements (VIS's). Parents, it's not too late to catch up on your child's vaccinations before school starts! Scroll down to view our Back to School Immunization Checklist.To make an immunization appointment, please contact your healthcare provider or county health department.If you are assigned to a site not permitting a religious exemption to a COVID-19 vaccine requirement, you may request another accommodation from KU Medical Center (i.e., leave of absence or alternative site location) by completing and submitting a request for another religious accommodation.The Immunization Division's goal is to increase immunization rates and reduce vaccine-preventable diseases. Other sites are not permitting a religious exemption for students. If your clinical site directs that KU Medical Center review and decide religious exemption requests, please complete and submit the form. Please know that some clinical sites are still deciding how they will administer student requests for a religious exemption, and have not yet communicated their processes to KU Medical Center. Please communicate with your school/program to better understand the clinical site's process, and which form to complete. Some sites reviewing and deciding exemptions have developed their own forms for students to submit directly to them. Some KU Medical Center partners are administering their own religious exemption request processes while other sites are directing KU Medical Center to perform that review. If the clinical site you are assigned to is administering the exemption review process, you may not need to complete or submit any forms to KU Medical Center, unless otherwise directed by the site. ![]() KU Medical Center clinical partners are now requiring all students to have received the COVID vaccine before being allowed to begin or continue their clinical or programmatic experiences. Student Vaccination Religious Exemption Request Form COVID Vaccine Exemption Request Student Vaccination Medical Exemption Request Form Please complete the form below to request a medical or religious exemption for a required vaccination (Measles, Mumps, Rubella, Hepatitis B, Influenza, varicella, Tdap Tetanus, Diphtheria, Pertussis). You will need to upload the completed form in order to submit your request. If you are completing a medical exemption form for a required vaccination or a Covid-19 vaccine, please make sure to take the medical attestation form to a licensed independent provider (MD, DO, APRN) to complete the attestation. ![]()
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