Immunization Education Module

Students claiming an exemption from the required vaccinations must have their legally responsible individual complete the online education module, or receive in-person consultation at a local health department, AND provide a copy of the completed form to the school. For a medical exemption from the required immunizations, the student’s legally responsible individual must provide to the school a completed Utah vaccination exemption form AND a written statement signed by a licensed healthcare provider stating that, due to the physical condition of the student/child, administration of the vaccine would endanger the child’s life or health. For more information on exemptions visit the Utah State Legislature website .

Information about the module:

The link below will access the Online Immunization Education Module

• The module should take approximately 20 minutes to complete.
• The module text can be displayed in English or Spanish.
• An optional “Autoplay Narration” button allows you to listen to the module, in English or Spanish.
• When you complete the module a vaccination education form is sent to an Email address you provide. If you want to exempt a student from immunization requirements you must bring this form to a Utah school.

Before you begin:

• You will be asked to enter information about yourself.
• Enter the Email address where you want a vaccination education form to be sent.
• You will have a chance to verify this information at the end of the module.
• You will be asked to enter information about a student, with an option to enter more than one student.
• If you cannot find the school name, select “Other” and you can enter the name.
• Be prepared to answer some “See what you know” quiz questions. These quizzes serve as further education. (Your answers are not recorded)
• Be prepared to specify the type of exemption and to which immunizations it applies for each student.