Immunization Waiver

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Louisiana Law (R.S. 17:170) requires each person entering any school within the state for the first time, shall present either:

  1. Satisfactory evidence of immunization against vaccine-preventable diseases according to the schedule approved by the Office of Public Health, Louisiana Department of Health, or shall present evidence of an immunization program in progress; or
  2. Sign a waiver indicating they have chosen not to be vaccinated. By completing this form you are submitting a waiver and you will not need to send us your immunization records.

Immunization Requirement Waiver Form (opens new window)