Health Care Provider Statement of Immunity

Section 665 Section 665.280  Health Care Provider Statement of Immunity A physician licensed to practice medicine in all of its branches, a physician assistant or an advanced practice nurse who believes a child to be protected against a disease for which immunization is required may so indicate in writing, stating the reasons, providing documentation of proof of immunity, when applicable and certifying that he or she believes the specific immunization in question is not necessary or indicated.  These statements of lack of medical need, including documentation of proof of immunity, when applicable, shall be submitted to the Department by the attendance center accompanied by the necessary parental release.  The Department will review the statements with appropriate medical consultation.  The Department's response shall be placed in the child's permanent health record.  After review, if the student is no longer considered to be in compliance, the student is subject to the exclusion provision of the School Code.  If a school is not able to obtain parental release and the student is considered homeless, the local school authority may sign the form on behalf of a homeless student's parent or guardian.  If a school is not able to obtain parental release, or if the documented intervals of vaccinations administered are not approved by the Department to be in accordance with Section 665.240, the student shall be noncompliant and subject to exclusion.