Homepage Hawaii Vaccine Exemption PDF Form

Frequently Asked Questions

  1. What is the Hawaii Vaccine Exemption Form?

    The Hawaii Vaccine Exemption Form allows parents or guardians to exempt their child from mandatory vaccinations based on personal beliefs or religious tenets. This form is essential for those who wish to enroll their child in school without complying with vaccination requirements.

  2. Who can use the exemption form?

    Any parent, guardian, or person in loco parentis can complete the form on behalf of a child. It is important that the individual signing the form has the authority to make medical decisions for the child.

  3. What are the grounds for exemption?

    Exemptions can be granted on two primary grounds:

    • Medical reasons, if a licensed physician certifies that immunizations would endanger the child's health.
    • Religious beliefs, if the parent or guardian objects to vaccinations based on bona fide religious tenets and practices.

  4. What happens if there is an outbreak of a communicable disease?

    If the Department of Health determines there is a danger of an outbreak, exemptions may not be recognized. In such cases, unvaccinated children may be excluded from school until the threat is resolved.

  5. How do I submit the exemption form?

    Once completed, the form should be submitted to the child's school administrator or the operator of the child’s group program. It is advisable to keep a copy for your records.

  6. Is there a deadline for submitting the exemption form?

    While specific deadlines may vary by school or program, it is generally recommended to submit the form well before the school year begins to ensure your child can start school without issues.

  7. Can I change my mind after submitting the exemption form?

    Yes, parents or guardians can decide to vaccinate their child after submitting the exemption form. However, it is important to communicate any changes to the school to ensure proper records are maintained.

  8. What if my child has already received some vaccinations?

    If your child has received vaccinations but you wish to opt-out of future ones, you can still submit the exemption form. It is essential to specify which vaccines you are refusing.

  9. Where can I find more information about vaccinations and exemptions?

    For more information, you can visit the Hawaii Department of Health website or consult resources such as the National Vaccine Information Center and Vaccination Liberation. These sources provide insights into vaccine risks and benefits.

  10. What should I do if my child experiences a reaction to a vaccine?

    If you choose to vaccinate and your child has a reaction, report it to the Vaccine Adverse Event Reporting System (VAERS). Keeping detailed records of any reactions can be crucial for future medical consultations.

Steps to Writing Hawaii Vaccine Exemption

After completing the Hawaii Vaccine Exemption form, submit it to your child's school administrator or the operator of your child's group program. Ensure that you retain a copy for your records. Follow the steps below to fill out the form accurately.

  1. Begin by writing your name in the designated space as the parent, guardian, or person in loco parentis.
  2. Insert your child's name in the appropriate section.
  3. Provide your child's date of birth.
  4. Fill in the name of your child's school.
  5. Indicate your child's grade level.
  6. Print your name as the parent or guardian in the specified area.
  7. Sign the form to certify your refusal of vaccination for your child.
  8. Write the date of your signature in the provided space.

Misconceptions

Understanding the Hawaii Vaccine Exemption form is crucial for parents and guardians. However, several misconceptions exist regarding its use and implications. Here are nine common misconceptions clarified:

  1. Exemptions are always granted. Many believe that submitting the exemption form guarantees approval. However, exemptions may not be recognized during an outbreak, as determined by the Department of Health.
  2. Vaccination is entirely optional. While the form allows for exemptions, it does not make vaccination optional in all circumstances. If there is a risk of an epidemic, vaccination may still be required.
  3. All religious beliefs qualify for an exemption. Not all personal beliefs or objections are considered valid grounds for exemption. The beliefs must align with bona fide religious tenets.
  4. Medical exemptions are easy to obtain. Obtaining a medical exemption requires certification from a licensed physician, which is not always straightforward and depends on specific health conditions.
  5. Once exempt, children can attend school freely. Exempt children may face exclusion from school during outbreaks, highlighting that exemptions do not guarantee uninterrupted school attendance.
  6. The form is a one-time requirement. Some think that submitting the exemption form is a one-time process. In reality, it may need to be renewed or updated based on changing health guidelines.
  7. Exemptions protect against all diseases. The exemption only applies to specific vaccines. Parents must still be aware of other diseases and the potential risks involved.
  8. Healthcare providers are fully informed about vaccine risks. Many healthcare providers may not provide complete information on vaccine risks. Parents should actively seek comprehensive information.
  9. Non-vaccinated children are always at risk. While non-vaccinated children may be at higher risk for certain diseases, many factors influence health, including nutrition and overall immune function.

By addressing these misconceptions, parents can make more informed decisions regarding their child's health and vaccination status.