Immunization Requirements

Religious (Imm.P.11A) and Medical (Imm.P.12) exemptions are allowed in Missouri K-12 schools. Parent/Guardian (ImmP.11) exemptions and medical exemptions are allowed in Missouri childcare facilities. The appropriate exemption card must be on file with your school district or childcare facility. Unimmunized children are subject to exclusion from childcare/preschool/school when outbreaks of vaccine-preventable diseases occur. 

Claiming a religious exemption indicates a parent or guardian’s sincere belief that the family’s religious preference does not support immunizing against vaccine-preventable diseases. It is a parent’s/guardian’s right to actively choose not to immunize their child by claiming a religious exemption or parental exemption, but this decision carries risks that can significantly impact their child, their family, their classmates, and the community.  

A medical exemption is authorized upon signed certification by a licensed Doctor of Medicine (MD, Doctor of Osteopathy (DO), or their designate indicating that either the immunization would seriously endanger the student’s health or life, or the student has documentation of disease or laboratory evidence of immunity to the disease.  

Immunization exemption forms (medical, religious, immunizations in progress, and parent/guardian for childcare/preschool) can be accessed and printed online from the Missouri Department of Health and Senior Services website on the school and childcare pages of the immunizations section.  

K-12 School religious and medical exemption forms are accessible under the “Code of State Regulations” section. Click at the bottom of the fact sheet to access the form: Schools | Immunizations | Health & Senior Services (mo.gov) 

Child Care medical and parental exemption forms are accessible under “Code of State Regulations” section. Click at the bottom of the fact sheet to access the form: Child Care | Immunizations | Health & Senior Services (mo.gov)