School vaccine exemptions by state

Arizona

Arizona allows medical, religious, and personal-belief exemptions. Personal-belief exemptions apply to K-12 schools; childcare centers accept medical and religious exemptions only.

Exemptions: medical, religious, personal · reviewed 2026-09-10

Florida

Florida allows medical and religious exemptions. The religious exemption is a county health department form the parent signs, with no doctor involved. Florida began rolling back some school vaccine requirements by rule in late 2025, so confirm the current required list.

Exemptions: medical, religious · reviewed 2026-09-10

Georgia

Georgia allows medical and religious exemptions for school and childcare immunization requirements. There is no personal-belief exemption.

Exemptions: medical, religious · reviewed 2026-09-10

Illinois

Illinois allows medical and religious exemptions. The religious exemption form must be signed by a health care provider as well as the parent, which makes the practice's cooperation matter.

Exemptions: medical, religious · provider signature required · reviewed 2026-09-10

North Carolina

North Carolina allows medical and religious exemptions. The religious exemption is a written statement from the parent; no state form or provider signature is required.

Exemptions: medical, religious · reviewed 2026-09-10

Tennessee

Tennessee allows medical and religious exemptions from school immunization requirements. There is no philosophical exemption.

Exemptions: medical, religious · reviewed 2026-09-10

Texas

Texas allows medical exemptions and "reasons of conscience" exemptions, which include religious belief. The conscience exemption uses a notarized state affidavit that is valid for two years.

Exemptions: medical, religious, personal · reviewed 2026-09-10