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Content Overview

In Hawaii, the decision to vaccinate a child is one that can diverge from the norm through the utilization of the Hawaii Vaccine Exemption form, which acknowledges the wide array of opinions and beliefs surrounding vaccination. Grounded in both state-specific regulations and broader legal frameworks—namely, Hawaii Administrative Rules §11-157-5, Hawaii Revised Statutes §302A-1156, §302A-1157, and §325-0034—this document serves as a testament to parental autonomy over medical decisions for their children. It outlines the process by which exemptions can be sought on both medical grounds and on the basis of religious or personal beliefs, stressing the individual's assessment of risks and benefits associated with vaccination. The form explicitly addresses the potential for adverse reactions, as acknowledged by the creation of the Vaccine Adverse Event Reporting System (VAERS), while also setting the stage for emergency revocation of exemptions in the event of a public health crisis necessitating quarantine or outbreak control measures. Additionally, it calls for a deeply informed choice, urging parents to weigh the diverse and complex information about vaccine efficacy, risks, and the natural resilience of the body against communicable diseases. In a balanced perspective, it juxtaposes the critical warnings against vaccines with a nod toward the conventional viewpoint that underscores their role in disease prevention, inviting a holistic and informed discussion on the well-being of the child and public health.

Document Example

attached: HRS

State of Hawaii Vaccine Exemption

Pursuant to:

Hawaii Administrative Rules §11-157-5

Hawaii Revised Statues §302A-1156, §302A-1157, §325-0034

I understand that all children are susceptible to diseases, even if they are vaccinated for that particular disease. I understand that, according to the CDC vaccination does NOT provide immunity, and therefore my child could contract the disease, even if vaccinated.

Furthermore, I understand that there is significant risk involved with vaccination and that many children have become seriously injured, sometimes resulting in death, as a direct result of the vaccination. VAERS (Vaccine Adverse Event Reporting System) was specifically created by the government to handle the large number of people that have died or received serious injury from vaccination.

I understand that some advocates of vaccination (usually ones with a vested financial interest) report that vaccination can help prevent certain diseases. However, I do not believe the reported benefits outweigh the confirmed danger and risks inherit with vaccination.

If at any time there is, in the opinion of the Department of Health, danger of an outbreak or epidemic from any communicable disease for which vaccination is required, this exemption from vaccination shall not be recognized. As a result, my child will NOT be vaccinated, but will be excluded from school until the threat of an epidemic is over.

VACCINE REFUSAL FORM

I,____________________________, as the parent, guardian or person in loco parentis of

(insert your name)

the child _________________________, do hereby certify that the administration of any

(insert your child’s name)

vaccine or other “so called” immunizing agents is contrary to our bona fide religious

tenets and practices and our personal beliefs. In Summary, I directly forbid any and all

parties, public or private, to administer any form of vaccination to my child.

This is pursuant to my right to refuse vaccination based on Hawaii State Law (see

§302A-1156, §302A-1157, §325-0034 and HAR §11-157-5). Pursuant to Hawaii statutes I am providing a copy of this statement to our child’s school administrator or operator of the child’s group program.

Pupil’s Name:_________________________________

Date of Birth:______________

School:______________________________________

Grade:____________________

Parent/Guardian Name (print) :_____________________________________________________

Parent/Guardian Signature:________________________________________________________

Date:_________________________

http://www.capitol.hawaii.gov/hrscurrent/Vol05_Ch0261-0319/HRS0302A/HRS_0302A-1156.htm [§302A-1156] Exemptions A child may be exempted from the required immunizations:

(1)If a licensed physician certifies that the physical condition of the child is such that immunizations would endanger the child's life or health; or

(2)If any parent, custodian, guardian, or any other person in loco parentis to a child objects to immunization in writing on the grounds that the immunization conflicts with that person's bona fide religious tenets and practices. Upon showing the appropriate school official satisfactory evidence of the exemption, no certificate or other evidence of immunization shall be required for entry into school. [L 1996, c 89, pt of §2]

http://www.capitol.hawaii.gov/hrscurrent/Vol05_Ch0261-0319/HRS0302A/HRS_0302A-1157.htm [§302A-1157] Exemptions from immunization; not recognized; epidemic conditions.

If at any time there is, in the opinion of the department of health, danger of an epidemic from any of the communicable diseases for which immunization is required under sections 302A-1154 to 302A-1163, no exemption from immunization against the disease shall be recognized. Quarantine shall be a legal alternative to immunization. [L 1996, c 89, pt of §2]

http://www.capitol.hawaii.gov/hrscurrent/Vol06_Ch0321-0344/HRS0325/HRS_0325-0034.htm [§325-34] Exemptions.

Section 325-32 shall be construed not to require the vaccination or immunization of any person for three months after a duly licensed physician or an authorized representative of the department of health has signed two copies of a certificate stating the name and address of the person and that because of a stated cause the health of the person would be endangered by the vaccination or immunization, and has forwarded the original copy of the certificate to the person or, if the person is a minor or under guardianship, to the person's parent or guardian, and has forwarded the duplicate copy of the certificate to the department for its files.

No person shall be subjected to vaccination, revaccination or immunization, who shall in writing object thereto on the grounds that the requirements are not in accordance with the religious tenets of an established church of which the person is a member or adherent, or, if the person is a minor or under guardianship, whose parent or guardian shall in writing object thereto on such grounds, but no objection shall be recognized when, in the opinion of the director of health, there is danger of an epidemic from any communicable disease.

http://gen.doh.hawaii.gov/sites/har/AdmRules1/11-157.pdf [§11-157-5] Exemptions.

(a)Medical exemptions from the requirements for specific immunizing agents shall be granted upon certification by a physician on the physician’s professional stationery that an immunization is medically contraindicated for a specific period of time. The original certificate shall be provided to the exempt person or parent or guardian. A copy of the certificate shall be maintained in the student’s school health record. Reports of such certificates shall be submitted to the department by each school.

(b)A religious exemption shall be granted to a student whose parent, custodian, guardian, or other person in loco parentis certifies that the person’s religious beliefs prohibit the practice of immunization. Requests for religious exemptions based on objections to specific immunizing agents will not be granted. Students who have reached the age of majority shall apply on their own behalf. The certification shall be retained in the student’s health record. Reports of such exemptions shall be submitted to the department by each school.

(c)If at any time, the director determines that there is the danger or presence of an outbreak or epidemic from any of the communicable diseases for which immunization is required under this chapter, the exemption from immunization against such disease shall not be recognized and inadequately immunized students shall be excluded from school until the director has determined that the presence or danger of the outbreak or epidemic no longer exists.

Making Informed Decisions

Your decision to vaccinate or not should be an informed decision. Vaccines can cause severe injuries such as seizures, death, anaphylaxis, brain damage and other reactions. The type and severity of reactions may vary from vaccine to vaccine and child to child. The effects of a vaccine injury may be temporary or permanent. If you notice any changes in your child’s condition after receiving a vaccine, you should contact your doctor immediately or go to a hospital. Vaccines have never been proven to be safe or effective and your child may contract the disease even if he is vaccinated. What has been proven is that you can get the disease from the vaccine or from coming into contact with a recently vaccinated person. The polio vaccine is just one example. It is a known fact that most healthcare providers do not fully inform patients of the side effects a vaccine can have on the body, brain and immune system. Because of the highly toxic ingredients all vaccines contain, you should thoroughly research vaccines for yourself before making such an important decision. DO NOT allow someone else, even your healthcare provider, scare or force you into making this decision without being fully informed. Many healthcare providers have not researched vaccine history or toxicology and are not fully informed. Always provide a detailed history of your child’s health to your doctor. Make sure they know of allergies, neurological problems, nutritional deficiencies, any immune system disorder and skin diseases such as eczema. Most physicians and nurses do not warn parents that if their child’s health is compromised in any way, such as having a common cold or previous reaction to a vaccine, they should not receive vaccines.

Benefits of Non-Vaccination

When you choose to not vaccinate your child, you have the responsibility to educate yourself on how to maintain the well-being of not only their body but also their mind and spirit as well. Childhood diseases can result in minor symptoms to severe complication or death depending on the child’s immune system and treatment protocols followed. The stronger the immune system, the less severe are the symptoms of the disease. A child that goes through the full expression of the disease (i.e. fever and skin eruptions, without suppressing any of these symptoms) usually acquires immunity from that disease for life. Good nutrition and cleanliness play a major role. The risk of contracting various diseases can vary over time or locality. Symptoms or complications of these diseases may be treatable by alternative methods or may resolve without treatment. Educate yourself on childhood diseases from informed alternative sources. Fear of these diseases comes from not being properly informed.

For More Information

To make a truly informed decision there are numerous sources of information on the risks of vaccines and the risks and benefits of childhood diseases. Sources of information to determine if the risks associated with vaccines outweigh any perceived benefits include: vaccine package inserts, the Physicians Desk Reference, the U.S. Center for Disease Control and Prevention, public and medical libraries or state and local health agencies. (NOTE: These sources do not give complete and total information on vaccine ingredients and their toxicity, nor do they provide accurate statistics.)

Vaccination Liberation – www.vaclib.org or (888) 249-1421

National Vaccine Information Center – www.909shot.com or (800) 909-SHOT / (703) 938-0324

(NOTE: The two websites above, Vaccination Liberation and the National Vaccine Information Center, have proven to be excellent sources for extensive vaccine information.)

Reporting Reactions

If you do decide to vaccinate, report vaccine reactions to:

Vaccine Adverse Event Reporting System (800) 822-7969

Always get the vaccine name, vaccine manufacturer and lot number. Keep records of day to day reactions from the time of vaccination for at least 6 months to 2 years, no matter how slight the reactions. Long-term effects of vaccines have not been well documented by the allopathic community and are just now being researched. If your child has been injured by a vaccine, he may be eligible for compensation under the National Vaccine Injury Compensation Program.

Revised 11/2008 Source:

A New Life Family Chiropractic

 

803 Kamehameha Hwy., Suite 301

 

Pearl City, HI 96782

This form may be reproduced

Document Characteristics

Fact Detail
Governing Laws Hawaii Administrative Rules §11-157-5, Hawaii Revised Statutes §302A-1156, §302A-1157, §325-0034
Vulnerable to Disease All children are susceptible to diseases, even if vaccinated for that particular disease.
Limits of Vaccination According to the CDC, vaccination does not guarantee immunity, meaning a child could still contract the disease if vaccinated.
Risks Associated with Vaccination There is significant risk involved with vaccination, including serious injury or death as a result of the vaccination reported through VAERS (Vaccine Adverse Event Reporting System).
Conditions for Exemption Revocation If there is a danger of an outbreak or epidemic, the exemption from vaccination will not be recognized, and the child will be excluded from school until the threat is over.
Exemption Basis Exemptions can be granted based on medical reasons or if immunization conflicts with a person's bona fide religious tenets and practices or personal beliefs.
Informed Decision Parents are encouraged to make an informed decision regarding vaccination, weighing the risks and considering the child's health history and potential vaccine reactions.
Reporting of Reactions If a child is vaccinated and experiences adverse reactions, they should be reported to the Vaccine Adverse Event Reporting System (VAERS).

Guidelines on Utilizing Hawaii Vaccine Exemption

Making the decision to seek a vaccine exemption for your child in the state of Hawaii involves understanding the risks and responsibilities associated with this choice. Once you have made an informed decision, the next steps involve completing the Hawaii Vaccine Exemption form according to state law. This process is straightforward but requires attention to detail to ensure that your child’s exemption is processed correctly and efficiently.

  1. Begin by reading the entire form carefully to understand the implications of seeking an exemption and the laws that govern this process in Hawaii.
  2. In the section labeled "VACCINE REFUSAL FORM," insert your full name as the parent, guardian, or person in loco parentis in the blank space provided.
  3. In the next blank space, write the full name of your child for whom you are requesting the vaccine exemption.
  4. Understand and acknowledge the information outlined in the introductory paragraphs regarding the risks associated with both vaccination and non-vaccination. This includes recognizing the role of the Vaccine Adverse Event Reporting System (VAERS) and the conditions under which an exemption may not be recognized by the Department of Health.
  5. Fill in the "Pupil’s Name" section with your child’s complete name as previously noted.
  6. Enter your child's Date of Birth in the space provided.
  7. List the School your child attends along with their current Grade in the respective fields.
  8. Print the Parent/Guardian Name in the designated space to ensure clarity on who is requesting the exemption.
  9. Sign the form in the “Parent/Guardian Signature” section to formally declare your request for a vaccine exemption for your child based on personal beliefs or bona fide religious reasons.
  10. Record the date of signing in the “Date” field to complete the documentation process.
  11. Review all provided information for accuracy and completeness to prevent any delays in the exemption’s processing.
  12. Provide a copy of the completed form to your child’s school administrator or the operator of your child’s group program as required by Hawaii statutes, retaining a copy for your records.

Once the form is submitted, it’s important to have an open dialogue with your child’s school to understand how this exemption may affect your child’s school attendance during health crises as outlined by Hawaii state law. Ensuring you have access to and comprehend all available resources and information will support you in making the most informed decision for your child’s health and education.

Understanding Hawaii Vaccine Exemption

Frequently Asked Questions about the Hawaii Vaccine Exemption Form

  1. Who can apply for a vaccine exemption in Hawaii?
  2. Parents, guardians, or any person in loco parentis to a child can apply for a vaccine exemption if immunizations conflict with their bona fide religious beliefs, personal beliefs, or if a licensed physician certifies that immunization would endanger the child's life or health.

  3. What types of vaccine exemptions are recognized in Hawaii?
  4. Hawaii recognizes two main types of vaccine exemptions: medical exemptions and religious exemptions. Medical exemptions require certification by a physician that immunization is medically contraindicated for a specific time. Religious exemptions are granted when immunization conflicts with the religious beliefs of the parent or guardian.

  5. How do I apply for a vaccine exemption for my child?
  6. To apply for a vaccine exemption, provide a written statement or a physician's certificate, as applicable, to your child's school administrator or the operator of the child’s group program. This statement should detail the grounds for exemption, whether they be for religious beliefs or medical reasons.

  7. Are there any circumstances in which a vaccine exemption would not be recognized?
  8. Yes, in the event of an epidemic or outbreak of a communicable disease for which vaccination is required, exemptions may not be recognized. In such cases, children with exemptions may be excluded from school until the health department determines that the epidemic threat is over.

  9. Can my child be forced to be vaccinated against my wishes?
  10. No, children cannot be forced to be vaccinated if a valid exemption form is provided. However, it's important to understand that during an emergency involving a communicable disease outbreak, exemptions may not be honored to protect public health.

  11. What should I do if I believe vaccines have injured my child?
  12. If you suspect a vaccine has harmed your child, contact your healthcare provider immediately or go to a hospital. You should also report the reaction to the Vaccine Adverse Event Reporting System (VAERS). Keep a record of the vaccine given, including the manufacturer and lot number, and document any reactions for at least 6 months to 2 years.

  13. Where can I find more information about vaccines and vaccine exemptions?
  14. For more information, you can consult vaccine package inserts, the Physicians Desk Reference, the U.S. Center for Disease Control and Prevention, and your state or local health agencies. Organizations like Vaccination Liberation and the National Vaccine Information Center also provide resources on vaccine exemptions and vaccine safety.

Common mistakes

Filling out forms is often seen as straightforward, yet when it comes to something as critical as a Vaccine Exemption Form in Hawaii, errors can slip in easily. Paying attention to the details can make a difference in ensuring the process is handled correctly and smoothly. Here are eight common mistakes people tend to make on the Hawaii Vaccine Exemption form:

  1. Not reading the instructions thoroughly: This might sound obvious, but many people rush through form filling and miss important details about the specific documentation or conditions required for an exemption to be granted.
  2. Incorrectly identifying the legal statutes: The form references several statutes, such as Hawaii Administrative Rules §11-157-5 and Hawaii Revised Statutes §302A-1156. Misunderstanding or incorrectly noting these can invalidate the exemption claim.
  3. Leaving sections incomplete: Each section of the form needs to be completed to provide a full understanding of the exemption request. Skipping parts can lead to delays or denial of the exemption.
  4. Not providing adequate documentation for the exemption: Simply stating a personal belief or religious tenet is insufficient without the required documentation or statements to support the exemption claim.
  5. Misunderstanding the conditions under which the exemption can be nullified: For instance, during an epidemic, the exemption might not be recognized. Failing to acknowledge these conditions can lead to surprises and unpreparedness.
  6. Assuming the exemption grants immediate effect without further action: The exemption process requires submission of the form to the appropriate school administrator or child’s group program operator, a step sometimes overlooked.
  7. Failing to maintain copies for personal records: Since the form serves as a crucial document, not keeping a copy for personal records can create problems if the submission is questioned or lost.
  8. Incorrectly filling out personal information: Simple errors in the child’s name, date of birth, or school grade can complicate the exemption process, as these details are vital for identifying the exempted individual.

Correctly filling out the Hawaii Vaccine Exemption form is an important process that requires careful attention to detail. By avoiding these common mistakes, individuals can help ensure their exemption requests are processed efficiently and effectively.

Documents used along the form

When navigating the specifics of vaccine exemptions in Hawaii, particularly with the use of the Hawaii Vaccine Exemption form, it's essential to have a comprehensive understanding of the related documents often required or used alongside the exemption form. These documents ensure that the individual's or child's exemption request is adequately supported and maintains alignment with state laws and regulations. Understanding each of these documents contributes to a smoother process for all parties involved.

  • Physician's Statement for Vaccine Exemption: This document is crucial for those seeking a medical exemption. It must be completed by a licensed physician and declare that due to specific health conditions, vaccinations could endanger the individual's health. This statement directly supports the exemption under Hawaii's medical exemption criteria.
  • Religious Exemption Statement: Used to assert that vaccination conflicts with the declarant's bona fide religious beliefs. Similar to the vaccine exemption form, this document outlines the individual's religious stance against vaccination and is required to process a religious exemption in Hawaii.
  • Proof of Guardianship or Parental Responsibility: Required to confirm that the person applying for a vaccine exemption on behalf of a minor has the legal authority to do so. Documents like birth certificates or court documents proving custody/legal guardianship are necessary to establish this connection.
  • School Enrollment Records: Particularly relevant for students, these documents provide proof of enrollment in a school that is requiring vaccination records or an exemption form. It helps schools keep accurate health records in compliance with state law concerning immunizations.

Understanding and gathering the correct supporting documents, such as the Physician's Statement for Vaccine Exemption, Religious Exemption Statement, Proof of Guardianship, and School Enrollment Records, can significantly ease the process of applying for a vaccine exemption in Hawaii. These documents work in tandem with the Hawaii Vaccine Exemption form to ensure that the exemption request is well-founded, meeting all legal requirements set forth by the state. This comprehensive approach to exemption helps protect the health and well-being of the individuals involved while adhering to statewide public health goals and policies.

Similar forms

The Hawaii Vaccine Exemption form is notably analogous to various other legal or formal documents that individuals might encounter when navigating health-related or educational bureaucracies. These similarities can be discerned in its structure, purpose, and the legal assertions it makes.

Medical Exemption Letters: Similar to the Hawaii Vaccine Exemption form, Medical Exemption Letters are crafted to notify relevant authorities about an individual's medical inability to undergo certain medical interventions, vaccines included. Both documents share a foundational premise: the need to articulate and legally justify an exemption based on health status or personal conviction. Medical Exemption Letters specifically require a healthcare provider's certification that validates the physical condition precluding vaccination, aligning with the component of the Hawaii form that delineates exceptions under specific health-related circumstances.

Religious Exemption Declarations: Quite akin to parts of the Hawaii Vaccine Exemption form, Religious Exemption Declarations enable individuals or guardians to declare that the administration of vaccines contradicts their deeply held religious beliefs. Both documents assert the right to bypass standard vaccine mandates by appealing to constitutional protections around religious freedom. They necessitate a formal declaration to schooling or health authorities, underscoring a shared procedural approach to securing exemptions based on faith-based reasons.

Philosophical Exemption Statements: Some jurisdictions accept Philosophical Exemption Statements which, like the Hawaii Vaccine Exemption form, allow for exemptions based on personal, moral, or other beliefs. While the specifics outlined in the Hawaii document pertain more directly to religious or health exemptions, the underlying premise of asserting a right based on personal conviction mirrors the essence of philosophical statements. Each type of document conveys a personal stance against vaccination mandates, compelling the authority in question to recognize an individual's right to choose based on personal beliefs.

Dos and Don'ts

When it comes to filling out the Hawaii Vaccine Exemption form, it's vital to approach this process with care and understanding. The implications of submitting this form are significant and require thorough consideration. Below are 10 crucial dos and don'ts that should guide you through filling out the form accurately and respectfully.

Do:
  1. Read the entire form carefully before you start filling it out to ensure you fully understand the exemption criteria and implications.
  2. Ensure that all the information provided on the form is accurate and truthful, including personal details and the exemption reasons.
  3. Seek legal or professional advice if you have any questions or doubts about the exemption process or your eligibility.
  4. Maintain a copy of the completed form for your records, as well as any correspondences or documentation related to the exemption.
  5. Respect the deadlines set by your child’s school or the relevant authority for submitting the exemption form.
  6. Be prepared for the possibility of exclusion from school during outbreaks of vaccine-preventable diseases, as stated in the form.
  7. Consider consulting with a healthcare professional about alternative ways to protect your child from vaccine-preventable diseases.
  8. Stay informed about the health risks associated with not vaccinating, for both your child and the community.
  9. Respect the decision-making process of others, recognizing that vaccination beliefs and decisions can vary widely.
  10. Be aware that this exemption form specifically refers to the legal rights and responsibilities under Hawaii state law.
Don't:
  1. Do not fill out the form without fully understanding the potential health risks involved with not vaccinating your child.
  2. Avoid submitting the form without proper signatures and verification, as incomplete forms may be rejected.
  3. Do not falsify any information on the form, including misrepresenting your beliefs or the medical condition of your child.
  4. Avoid making your decision based solely on information from unverified sources; seek out credible and comprehensive resources to make an informed choice.
  5. Do not disregard the advice of healthcare professionals without considering the scientific evidence and expert opinions on vaccination.
  6. Avoid using the form as a way to bypass school vaccination requirements without genuinely held beliefs or medical reasons.
  7. Do not neglect to consider the potential consequences of your decision on your child’s education and social interactions.
  8. Avoid submitting the form without discussing its implications with all relevant family members, including your child if appropriate.
  9. Do not overlook the need to inform yourself about preventive health measures beyond vaccination to protect your child.
  10. Lastly, do not assume that submitting the form is the end of your responsibility; continue to monitor public health advisories and be prepared to revisit your decision as circumstances change.

Filling out the Hawaii Vaccine Exemption form is a significant step that should not be taken lightly. By following these dos and don'ts, you can ensure that your decision is well-considered, based on reliable information, and in the best interests of your child and community.

Misconceptions

There are several misconceptions about the Hawaii Vaccine Exemption form that need to be clarified to ensure parents and guardians are correctly informed. Here, we will address five common misunderstandings.

  • Any vaccine reaction is grounds for exemption: It's believed by some that any adverse reaction to a vaccine qualifies a child for a permanent exemption. However, exemptions are generally granted on a case-by-case basis, focusing on severe allergic reactions or medical conditions that contraindicate vaccination, as certified by a licensed physician.

  • Exemptions are guaranteed: Another misconception is that filing an exemption form guarantees approval. The reality is that exemption requests, especially those based on religious beliefs, are subject to review and confirmation by the school or state health department.

  • All vaccine exemptions are permanent: Some think once granted, an exemption is permanent. In truth, exemptions can be re-evaluated and may not be recognized during outbreaks of vaccine-preventable diseases, as indicated in the Hawaii Vaccine Exemption form.

  • Exemptions can be granted for personal or philosophical reasons: While some states allow exemptions for philosophical reasons, Hawaii's exemptions are specifically for medical reasons or religious beliefs as outlined in the Vaccine Exemption form.

  • Vaccine exemptions mean your child can still attend school during an outbreak: There's a common belief that exempted children can still attend school during an outbreak of a vaccine-preventable disease. However, the form clearly states such exemptions will not be recognized during outbreaks, requiring the child to be excluded from school to protect public health.

Understanding the specifics of the Hawaii Vaccine Exemption form is crucial for making informed decisions about vaccination and exemptions. Parents and guardians are encouraged to review all guidelines and consult with healthcare professionals when considering exemption requests.

Key takeaways

Filling out and using the Hawaii Vaccine Exemption form is governed by specific statutes and administrative rules. Understanding these regulations is essential for parents or guardians who are considering this option for their child. Here are key takeaways to help navigate this process:

  • Exemptions to vaccination, based on medical or religious grounds, are permitted under Hawaii law, specifically under Hawaii Revised Statutes §302A-1156, §302A-1157, and §325-0034, as well as Hawaii Administrative Rules §11-157-5.
  • The form clearly requires the parent, guardian, or person acting in loco parentis to declare their child's exemption from immunizations due to their bona fide religious beliefs or personal convictions against vaccination.
  • Parents or guardians must submit this exemption form to their child's school administrator or the operator of their child's group program.
  • A physician can certify a child as exempt for medical reasons if vaccinations would endanger the child's life or health, as outlined in the provided statutes.
  • Religious and personal belief exemptions are allowed when a parent or guardian certifies their objection to immunization in writing. However, these exemptions are not recognized during times of epidemic threat, as determined by the Department of Health.
  • During an outbreak or epidemic of a communicable disease, exemptions may not be recognized, and the child could be excluded from school to contain the spread of the disease.
  • It is the responsibility of the parent or guardian considering a vaccine exemption for their child to be well-informed about the risks and benefits associated with their decision.
  • The document emphasizes making an informed decision and advises parents to thoroughly research vaccine safety, efficacy, and potential adverse events.
  • Parents are encouraged to report any adverse reactions following vaccination to the Vaccine Adverse Event Reporting System (VAERS).
  • The exemption form also provides resources for parents seeking more information about vaccines, including Vaccine Adverse Event Reporting System (VAERS) and advocacy groups such as Vaccination Liberation and the National Vaccine Information Center.
  • Ultimately, the form asserts the right of parents or guardians to refuse vaccination for their child based on Hawaii State Law, reinforcing the importance of parental autonomy in medical decision-making.

It's crucial for parents and guardians to understand both the legal rights and the public health implications of their choices regarding vaccination. By familiarizing themselves with Hawaii's laws and considering the wide range of available information and viewpoints, individuals can make more informed decisions about their child's health and well-being.

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