Exemptions

  1. Parental
  2. Religious
  3. Medical

Parental Exemptions

For children ages birth through 5 years

For public, private, parochial day care, preschool or nursery schools

Instructions: Initial the box, fill out the child's name (1 card per child), select vaccinations, print & sign your name in the respected box, date card, turn into your child's facility.

Read information on the sheet, Click the bottom left orange circle to continue the process

https://health.mo.gov/living/wellness/immunizations/pdf/immp11.pdf