Religious exemptions must be requested annually. [#QvgkG _}=Lpoz_. City of St. Louis ordinance #68597 states every holder of a PERMIT for a FOOD ESTABLISHMENT, operating for more than ten days, shall verify a certificate of immunization from a health care provider for the Hepatitis A virus from every EMPLOYEE assigned to the preparation, display or service of FOOD for such FOOD ESTABLISHMENT within thirty (30) days after the commencement of such EMPLOYEE'S employment. The Department of Health offers immunization exemptions for minor children. Workers who wish to be exempted from the vaccine requirement are invited to visit the university's Human Resources page, where an application can be completed. The California Immunization Registry Medical Exemption web site is a secure site for physicians to issue and manage standardized medical exemptions for children in school or child care. 2021:70 (03);75-82 JlU|oMuv9[A.N7*Ctw(vemt.%93S2J)Xn8`N\y16osG%rnwV[U]xI?+GK'b6!pM%sbQN5E5[s5O#g' s
Thevaccine toolkit was created in collaboration with the SaintLouis Science Center to help increase awareness and understanding about vaccines in disease prevention. State immunization information system record. KU changes process to get religious exemption from vaccine mandate; signing simple form is new requirement KU. Vaccine Exemption Template. The government policing people's religion raises a number of thorny issues. 4(*c`-P+r=-Iy^(r';U;ISp8wrRe65D=/@Lrb%BxV4mEm~G5#c+d,HS Immunizations not only protect individual people, but aid in protecting the health of our community, especially those individuals who cannot be immunized. These cookies allow us to count visits and traffic sources so we can measure and improve the performance of our site.
2022:71 (16);561-568 Vaccination Coverage for Selected Vaccines and Exemption Rates Among Children in Kindergarten United States, 2019-20 School Year. 310 0 obj
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$41CP,)Ag] In addition, some applications and/or services may not work as expected when translated. Use the website to register, or call the states COVID-19 hotline at (877) 435-8411 for assistance. It is recommended individuals use the Microsoft Edge web browser when submitting a vaccine exemption request online. including without limitation, indirect or consequential loss or damage arising from or in connection with use of the Google Translate Service. The final rule clarifies the scope and application of the religious exemption contained in section 204 (c) of . Keep the feedback coming! EMC note that mmr and meningitis vaccination is required under missouri state immunization laws (section 167.181 rsmo) for school attendance. endstream
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name of student (print) should be exempted from the following immunization(s) Evusheld is a combination of two monoclonal antibodies and is designed to prevent COVID-19 infection in high-risk individuals. 3. Nov 30, 2021 - 5:09pm sm
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A federal judge has rejected a Kansas City charter school student's claim that Missouri's official religious exemption form for vaccines is an unconstitutional infringement of religious freedom. Here is a religious exemption example for North Carolina. . Translate to provide an exact translation of the website. EMC [an error occurred while processing this directive], SEPH/Bureau of Environmental Health Services, Bureau of Immunization Assessment and Assurance, SDP/ Communicable Disease Control and Prevention, Div. I accept full responsibility for my health, thus removing liability from Centenary University to the required immunization. Individuals with approved exemptions may request to recertify exemptions each year. SHOULD BE EXEMPTED FROM THE FOLLOWING IMMUNIZATIONS Diptheria MMR (Measles, Mumps and Rebella) Influenza Tetanus COVID-19 Pertussis Td Varicella Meningitis Meningitis B Hepatitis B Polio Other Check all that apply Note: Unimmunized students have a greater risk of getting these vaccine preventable diseases which can lead to serious complications. }(uDv~wG x/4y=Ki^L?|
+x|+QpV>@C`]`&hok(`Hr8kUnrfh If requesting an Affidavit by Mail, a written request for an affidavit may be sent through the United States Postal Service. OCTOBER 28, 2021 Jefferson City Today, Governor Mike Parson announced that he has issued Executive Order 21-10 to protect the individual rights of Missourians against overreaching federal COVID-19 vaccine mandates. COVID-19 vaccination in an alternative manner. as with certain file types, video content, and images. Vaccination requirements and permitted exemptions vary by area. Missouri Department of Health & Senior Services, Vaccines for Children - Information for Providers, Vaccines for Children - Information for Parents, Nondiscrimination Notice (Translations Available). v'mbS`j*\s}ltg}Q E(J{q7{^(0g*W(*b A-1$1K%D=+ N/ People who have had any of the following in the past 6 months: Sex in association with a large public event in a geographic area where MPOX transmission is occurring (this currently includes the St Louis metro region), Sexual partners of people with the above risks, People who anticipate experiencing the above risks, People who know one of their sexual partners in the past 2 weeks has been diagnosed with MPOX, Call 314-814-8700 to set up an appointment, Vaccines will be given at their Midtown location at 2900 Washington Ave, St. Louis, MO 63103, Walk-in Vaccinations are also available at the Midtown location on Thursdays 9am-11:45am and Fridays from 9am-2pm, Jefferson County Department of Public Health, Vaccine appointments available by appointment. I understand the risks of non-immunization. Report of Students in Noncompliance Tool A tool created to help track students in noncompliance with the Missouri School Immunization Law. Cookies used to enable you to share pages and content that you find interesting on CDC.gov through third party social networking and other websites. Form # Form Name Instructions Category Employee Access . If assistance is needed, please call 1-573-751-6400. The Centers for Disease Control and Prevention'sTravelers' Health websiteoffers information on recommended vaccinations and health notices. School Vaccination Requirements and Exemptions. ]car=@*xy- t HH;c`O K(
not an endorsement of the product or the results generated and nothing herein should be construed as such an approval or endorsement. FEMA and the City of St. Louis recommend going to vaccines.gov and entering your ZIP code for the nearest convenient location to receive a vaccine. ,/6lL:}emh{d(p Some State of Missouri websites can be translated into many different languages using Google Translate, a third party service (the "Service") that provides automated computer
Influenza Vaccination for HCP. Immunizations of children required, when, exceptions duties of administrator, report notification of parents, when. HepB Birth Dose. 816-881-3000 There are circumstances where the service does not translate correctly and/or where translations may not be possible, such
MISSOURI IMMUNIZATION RECORD (MO580-0242) REVISED 12/13: EACH: $0.00: Bureau of Immunization Assessment and Assurance : IMMP-11: PARENT/GUARDIAN IMMUNIZATION EXEMPTION FORM: EACH: $0.00: Bureau of Immunization Assessment and Assurance: PROGRAM APPROVAL REQUIRED: IMMP-11A: RELIGIOUS IMMUNIZATION EXEMPTION: EACH: $0.00: Bureau of Immunization . Acting Director
True medical exemptions are expected to be infrequent and should be supported by expert consultation. The Missouri House Committee on Emerging Issues passed House bill 700 on Tuesday, which creates provisions related to the refusal of medical procedures or treatment. If an employee has a medical reason they can be exempt from a vaccine requirement. By selecting a language from the Google Translate menu, the user accepts the legal implications of any misinterpretations or differences in the translation. ^. Any employees and volunteers who receive exemptions may be subject to COVID19 testing and/or other COVID19 public health measures. EMC Their objections were largely based on. This makes policing religious exemptions to vaccination hard - and rightly so. A sign at Grace United Methodist Church in St. Louis encourages passersby to get vaccinated against the COVID-19 virus on Friday, Sept. 17, 2021 . You can use the Missouri COVID-19 Vaccine Navigator [covidvaccine.mo.gov] to register and schedule appointments for vaccinations. To request a medical exception or delay from the COVID-19 vaccination requirement using this form: 1. not an endorsement of the product or the results generated and nothing herein should be construed as such an approval or endorsement. 1j\TK*KE2u) 2m_}&z+^"kQ|vFtBG 77pWT;V#iV# .0[R`%S<73B*j|k<2f [nt]XU)( Universal Forms Accountability Form (Fillable) Borrowing Form Disenrollment Eligibility record Emergency Response Plan (Fillable) Immunization Consent and History Form Order Form (Fillable) Provider Update Tally Sheet Temperature Log - Fahrenheit or Celsius Vaccine Freezer Setup Vaccine Information Vaccine Management Plan (Fillable) 436 0 obj
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pertains to the practice of immunization. D #{:!#>A|ybc"D UDu#"s|TVkzz6NIJs]VF`ZRt0z~fYwF]~/:7C>~wUDGk'@}RzA5iN@:gNO ?q`[@c('sNZ[%|DX$|z[CL0GzT[_^6#^8a7D;L,|0viEZx?&{;t GpKx[:dYGa^
m&V6kw1a*~vYXx&!sr%"; . Acceptable vaccines Contact Us. The assigned expiration is at the sole determination of Columbia University. The University will provide medical and religious exemptions to this vaccination mandate, as provided for under Title VII of the Civil Rights Act of 1964 and the Americans with Disabilities Act. 2000e; 5 U.S.C. As Google's translation is an automated service it may display interpretations that are an approximation of the website's original content. t|_*r9%:6lLjKNxdbaJj*$+7CIYl7Em2f`@ zH2MKS&l[e54V,EY6YnfQG%tmnMYJ62iG{zh[LRNtA\]cczf " TUFs'ZZ9lCftt$7%NSP|5;|vv+ta l;@-4SN6 ,VE `Q2ojC
ji)N67i y!uREIJ*'Av)a.Ny=qud.eO+vN'~:u6k7NTo;9Y%,eSaMnIO7qnDbaH`{0l)N+s2z2Y'c sW8=tZi-CqSlzMsk3w$8~Ec{,\(}6IiC?_X These cookies perform functions like remembering presentation options or choices and, in some cases, delivery of web content that based on self-identified area of interests. d8!f3a0rq^o uam{O However, some states allow other health care workers to certify. Cookies used to track the effectiveness of CDC public health campaigns through clickthrough data. Acting Director
We take your privacy seriously. 459 0 obj
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Please remember to put your VFC PIN Number on each form. You can review and change the way we collect information below. Neither the State of Missouri nor its employees accept liability for any inaccuracies or errors in the translation or liability for any loss, damage, or other problem,
Immunization Section, Mail Code 1946. The following clinics offer Hepatitis A vaccinations. Jul 31 2021 August 11, 2021. hX[S+zslY*H8svXD$Q/,_%qax*V[nKG%01|D#OH?@Ob`fK2NAq&"`F t,["EhO *"` M9H^1)l$3pe1p$fOAh~3[cI>
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( The Missouri Department of Health and Senior Services (DHSS) strongly encourages you to immunize your child, but ultimately the decision is yours . Z67R"&(V1m}$e8 >E;Bsk26U]\0%CFxYf$H8kY52(h]s@CSN/r1R,%t.V/&f/&^ZDE}]J2drbku+n\h(E7?yI3"J>1)&99nCYXgu\L=.(ydq)9pF x.5g 8 Medical exemption: Typically, a medical exemption must be written by an MD or doctor of osteopathy (DO). Many are needing vaccine exemption forms as schools and businesses attempt to coerce people into getting shots to attend. Missouri Statutes Immunization of School Children 167.181 HVn@}Gq^XX)_{>y6H18d#Rj?=qpV"O You will be subject to the destination website's privacy policy when you follow the link. &BDDXGTxBT>g| 8-S?mue7>`9*WMU{fKKLca29 I=D3k|Lz9Eia1+~@3=KZ7EY-2$&8f}@$05NhL`=#lIs?O)y9`[5$8j/53]fLxTa1E;:iCr%R Google Translate will not translate all applications. Although exemptions vary from state to state, all school immunization laws grant exemptions to children for medical reasons. Xe^FsLkP^Ab 500 character limit. Current Revision Date: 02/2022 Authority or Regulation: 5 U.S.C. %PDF-1.7
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CDC twenty four seven. Cookies used to make website functionality more relevant to you. endstream
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MMWR. have Public Health/Directors Office, DEATH CERTIFICATES - CUT FORM - FEE RECEIPTS, BIRTH CERTIFICATES - CUT FORM - FEE RECEIPTS, SANITATION INSPECTION REPORT, FAMILY CHILD CARE HOME, SANITATION INSPECTION REPORT (PG.2) (REV. A vaccine exemption Affidavit is a document that is sworn by you and signed before a notary public (including a notary or a paralegal) in order to establish your request to be exempt from the COVID-19 vaccine. aN
Use the vaccination education toolkit by downloading and printing the information needed for your vaccines education campaign. 42 U.S.C. Commissioners,
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All the locations below will provide vaccination if you do not have insurance. Parents use the same site to request medical exemptions from vaccination for their children. 9svv88 Exemptions shall be accepted by the day care administrator when the necessary information as determined by the department of health and senior services is filed with the day care administrator by the parent or guardian. Examples of acceptable forms of proof of vaccination include: CDC COVID-19 vaccination record card (or a legible photo of the card), . including without limitation, indirect or consequential loss or damage arising from or in connection with use of the Google Translate Service. Parents and guardians should indicate which required vaccines are being exempted from on the Parent/Guardian Immunization Exemption form. :>k-KmmpgwBi 7G_S4v2>^wq`..I44|2nK`/0;3OF_70yF,r@E[ -Zkx2& puilV66(2|%o~o U~XQj^l:)[kO76wWNiQg]fV]E,+\8EoGjc>\zfs3]RZf WK)LJM%KeQFtYG %#X.eRk)UI:6. hbbd```b``V+@$ll f_~_"! Check the appropriate box for the type of exemption to be claimed according to . The EEOC published a sample form that employers can use for religious accommodation requests from workers, which have risen as Covid-19 vaccine mandates proliferate in the workplace. Please visit our free Flu Shot Clinic locator for dates, times, and registration links (if applicable). All other encounters will be by appointment only. x\0ptHG'r?,2C&MK%tIknpL_gp^"aF.UY[8zr8! The problem is that the same people who eagerly promote anti-vaccine misinformation are just as eager to misuse religion to avoid . With the passing of this bill . comments Google Translate will not translate all applications. . Immunization Exemptions Immunizations protect against several dangerous, and sometimes deadly, diseases. There are circumstances where the service does not translate correctly and/or where translations may not be possible, such
Visit the COVID-19 Vaccine Information website Information about the COVID-19 booster Also, in Missouri and Illinois, a religious reason . 3. A Religious Immunization Exemption form can be obtained for printing by clicking the button below. You should not rely on Google
There are 44 states and Washington D.C. that grant religious exemptions for people who have religious objections to immunizations. endstream
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<. Step 3: Open the form and fill it out. /Tx BMC The City of St. Louis Department of Health and the Centers for Disease Control and Prevention recommend a yearlyflu vaccinefor everyone 6 months of age and older as the first and most important step in protecting against this serious disease. 284 0 obj
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I certify that has contraindications to COVID-19 vaccine or its components and I support the request for a medical exemption from required COVID-19 vaccination. What is an Exemption and What Does it Mean? The Supreme Court on Thursday, Jan. 13, upheld a federal COVID-19 vaccination requirement for staff at all U.S. nursing homes and other federally funded healthcare facilities.The rule, announced . With vaccine authorization in the U.S. and the promise of potential availability for student populations in late spring and summer 2021 (in most states . Your medical provider must complete Part 2 of this form. Only eligible health professionals can use this form. Religious freedom is a core value in the United States. All states, the District of Columbia, and territories have vaccination requirements for children attending childcare facilities and schools. 2105 DOWNLOAD THIS FORM: Choose a link below to begin downloading. NN3lW^6>LUQwe^UVh2[ qh>PAk,)|} & ,6:2>Sp+5,Tu`:C`86vUVI;TF"zG3@z mZ \Jo Form: GSA19M Request for a Medical Exception to the COVID-19 Vaccination Requirement Form is for GSA Employee use only. MB@<2"0$bHYRbSxYY$92uQY`#}x.iI)KUe1!a57 Jpzllr,b.dY, @cfYn mHyqH|Ie
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ZNG8^e-}#^Q|e+edl6eSl4jz)w&i;DC,S)f~?Z3P The following information is for those seeking vaccinations in the City of St. Louis. 0
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Click on the document to open it. If assistance is needed, please call 1-573-751-6400. 1982; Amendment June 11, 1993; Amended: Filed 1/17/97, Effective 2/21/97 . Section 144.054, RSMo. The Google Translate Service is offered as a convenience and is subject to applicable Google Terms of Service. accurate. Use the website to register, or call the state's COVID-19 hotline at (877) 435-8411 for assistance. Benjamin Scott Roberts v. The Missouri Department of Health and Senior Services has recently expanded eligibility for MPOX vaccination to include anyone who is likely to be exposed to MPOX (sometimes referred to as pre-exposure prophylaxis or PrEP). hTmk@+~~>C)$
mX>58I8IG8d'lJ HhZjP,96p6Xb]~6tj>-e"j|Ujf_M)\#\aigo%MA')*Hc&R :/{P22lb9:|LWuzo58wLwe/!/P(Qiq^q- Iowa Code, Chapter 139a.8 (6) and Iowa Administrative Code, 641-7.7 (139) outline the immunization requirement for students attending licensed child care centers and elementary or secondary schools. Recognizing outstanding vaccination efforts in healthcare settings. If approved, the exemption will remain in effect for the duration of the current academic year. Parents and guardians should indicate which required vaccines are being exempted from on the Religious Immunization Exemption form. translations of web pages. The MPOX virus continues to spread in the St Louis region and the regional local public health departments are working diligently with local clinic partners to provide MPOX vaccinations. 2. Linking to a non-federal website does not constitute an endorsement by CDC or any of its employees of the sponsors or the information and products presented on the website. You can use the Missouri COVID-19 Vaccine Navigator to register and schedule appointments for vaccinations. St. Louis, Missouri 63178 Phone: (314) 612- 5100 Fax: (314) 612-5105 IMMUNIZATION EXEMPTIONS . hY{o*o-\pb
4Ek=X-T|)wIiIu(#JK mD+bCc)cI8S!tq@GZN t`UDxcJ,"X:!JkYF@F`0]aJE(ss#C"5"" }!`)0aqH Gary RomineVictor CallahanDebbi McGinnis, Obtaining a property tax receipt or waiver, Legal Decisions and Orders Issued February 10, 2023, Legal Decisions and Orders Issued January 27, 2023, Legal Decisions and Orders Issued January 24, 2023, Legal Decisions and Orders Issued January 13, 2023, Legal Decisions and Orders Issued December 30, 2022, Legal Decisions and Orders Issued December 16, 2022, Legal Decisions and Orders Issued December 2, 2022, Justin Clark v. Jake Zimmerman, Assessor, St. Louis County, Missouri, Michael E. Mullen v. Jake Zimmerman, Assessor, St. Louis County, Missouri. endstream
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At the same time, a study of the experience in early fall 2020 found an association between colleges and universities with in-person instruction and increased infection incidence in the counties within which the schools were located. The medical condition is: /Tx BMC Paula F. Nickelson, PLEASE READ THIS DISCLAIMER CAREFULLY BEFORE USING THE SERVICE. A child shall be exempted from the immunization require-ments of this rule as provided in section 167.181, RSMo if one (1) parent or guardian You can tailor it to any state by looking up your state statutes for religious exemptions and typing it into the form. By Tessa Weinberg | Missouri Independent Mar 23, 2022 JEFFERSON CITY, Mo. 210.003. Box 149347. Services available from 8:30 a.m.-5:00 p.m. Monday-Friday. hlP]k@+P}!-@=k/B s8uAY1_IXr[CmYi'cs5Q2F6qQPt$.ekIpUgts|Ib9{')}uWm5`q,VjX z+|U*YuQ
0l[U-9&X??/D. Exempt workers must wear a well-fitting respirator approved by the National Institute of Occupational Safety and Health (NIOSH), such as an N95 filtering facepiece respirator, or surgical mask, at all times while in the facility. $@z$ECj6k 71rP;aB;~g-yAI $WB/d =
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All states, the District of Columbia, and territories have vaccination requirements for children attending childcare facilities and schools. Immunization will be on a form approved by the Alabama Department of Public Health. Jackson County Courthouse. chapters 11 and 79, and in discharging the functions directed under Executive Order 14043, Requiring Coronavirus Disease 2019 Vaccination for Federal Employees (Sept. 9, 2021), and 5 U.S.C. As Google's translation is an automated service it may display interpretations that are an approximation of the website's original content. Mail to: Texas Department of State Health Services. %PDF-1.7
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Tables 1-4: Summary of conditions and/or adverse events following immunization (AEFI) that may qualify for a medical exemption to COVID-19 vaccination @>L"%J@QI *MC5ZV "yEtA'A\b Exemption forms shall be provided by the department of health and senior services. Closed on City Holidays. Employees may email MU Health Care AskHR for additional information at askhr@health.missouri.edu.
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Additional information on this ordinance is available online. chapters 33 and 63 and Executive Order 12196, Occupational Safety and Health Program for Federal Employees (Feb. 26, 1980). Employees who qualify for an. The state claimed Form 11 is a simple one-page form that informed parents of the benefits of vaccination. 288 0 obj
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Legal Decisions and Orders Issued December 16, 2022. 11/13: CD-141: Donations Form. 406 0 obj
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EMC All states and the District of Columbia allow a medical exemption. Neither the State of Missouri nor its employees accept liability for any inaccuracies or errors in the translation or liability for any loss, damage, or other problem,
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Gd?K>at-gV{;dtw"(}6}Bc? Certificate of Exemption - Washington State Department of Health fyuiF+qu$bPnP!X:qRU 3|i B-]wUqg@4)`w? Vaccines will be provided at the Hillsboro location located at 405 Main Street, Hillsboro, MO 63050, Call 636-949-7484 or click this link to schedule your appointment, Vaccines will be given at their office at 1650 Boones Lick Rd. translation. The Department of Health Form Imm.P.12 shall be on file with the school immunization health record for each child with a medical exemption. The Centers for Disease Control and Prevention (CDC) cannot attest to the accuracy of a non-federal website. Erin Mulvaney. Comments are helpful! Legal Decisions and Orders Issued December 30, 2022. Religious exemption. EMC All 50 states have legislation requiring specified vaccines for students. At a hearing before the Military Personnel Subcommittee of the House Armed Services Committee, Gaetz asked Erik Raven, undersecretary and Chief Operating Officer and Chief Management Officer of the Navy, "Did the Navy send out form letters in response to people's requests for religious exemptions" from the DOD vaccine mandate. If this fails, here's the link: https://stlcountycovidvaccine.as.me/?calendarID=7289223, Additional information on this ordinance is available online, St. Louis Childrens Hospital Travel Clinic, Washington University School of MedicineInternational Travel Clinic, Gay, bisexual, and other men who have sex with men and transgender or nonbinary people who in the past 6 months have had, A new diagnosis of one or more nationally reportable sexually transmitted diseases (i.e., acute HIV, chancroid, chlamydia, gonorrhea, or syphilis) and/or. %%EOF
Author: Andrew Torba. Those individuals who are granted exemptions will be. m&^kErDd6V{tkqm(jblc -)OD_lQ$Y|C8?QwD99azN)1u\I)K_Jxun^&;27 ,f 4a
ie;qX04LO5K|Cfd%KL|,s>32c={Nq4sN\pp;UR9L~, (H`Nok;>y:5\T*+,{\l4%f'}F&qj. The vaccination is a two-dose series, 28 days apart, and helps prevent the spread of MPOX. Every state except three -- California, Maine, Mississippi, New York, and West Virginia -- allows religious exemptions. Religious Exemption and the Certificate of Medical Exemption will be on forms approved by the .