Ohio Vaccination Laws
Ohio has various laws regarding vaccinations and vaccination exemptions. Below you will find information on:
Kindergarten through 12th grade
***The following is not meant to be legal advice. If you require legal advice, please seek out an attorney licensed in Ohio. We recommend reading through each Ohio Revised Code (ORC) to be fully aware of the law.
For more information about vaccines, please see our recommended list of resources Get Informed
The state of Ohio has 3 types of exemptions: Medical and Reasons of Conscience, including Religious convictions.
A medical statement is required for all children enrolling in a child day-care center, type A family day-care home, or licensed type B family day-care home or receives child care from a certified in-home aide.
Ohio law requires the child medical statement to include sections for exceptions to immunization, including a component where a parent can decline. See sample form here.
The medical statement should contain no wording that asks for a specific religion or beliefs, nor any other items except a place for a parent to decline.
In summer 2017, an ODJFS administrative rule change was enacted that allowed private child care providers to deny enrollment to children missing one, some, or all vaccines required under ORC5104.014 (see below for list of vaccines). Because this was in direct contradiction to what the law states, a review of the law was requested.
The Ohio Legislative Service Commission returned this analysis (LSC Review 5104.014.pdf), which concluded that enrollment was not adequately included in the law. Please note that appendix B covers what child care providers shall provide in writing to parents. Therefore, they must state "care of children without immunizations" in their policies and procedures, which includes whether they accept exemptions or not.
If you are presented with a form from a child care provider/center, compare it to ORC 5104.014 for compliance with the law. Providing the minimum required information is recommended.
If you are unsure you can email Health Freedom Ohio at info@healthfreedomohio.org
5104.014. Medical statement of immunization
(A) As used in this section:
(1) "Child" includes both of the following:
(a) An infant, toddler, or preschool age child;
(b) A school-age child who is not enrolled in a public or nonpublic school but is enrolled in a child day-care center, type A family day-care home, or licensed type B family day-care home or receives child care from a certified in-home aide.
(2) "In the process of being immunized" means having received at least the first dose of an immunization sequence and complying with the immunization intervals or catch-up schedule prescribed by the director of health.
(B) Except as provided in division (C) of this section, not later than thirty days after enrollment in a child day-care center, type A family day-care home, or licensed type B family day-care home and every thirteen months thereafter while enrolled in the center or home and not later than thirty days after beginning to receive child care from a certified in-home aide and every thirteen months thereafter while continuing to receive child care from the aide, each child's caretaker parent shall provide to the center, home, or in-home aide a medical statement, as described in division (D) of this section, indicating that the child has been immunized against or is in the process of being immunized against all of the following diseases:
(1) Chicken pox;
(2) Diphtheria;
(3) Haemophilus influenzae type b;
(4) Hepatitis A;
(5) Hepatitis B;
(6) Influenza;
(7) Measles;
(8) Mumps;
(9) Pertussis;
(10) Pneumococcal disease;
(11) Poliomyelitis;
(12) Rotavirus;
(13) Rubella;
(14) Tetanus.
(C) (1) A child is not required to be immunized against a disease specified in division (B) of this section if any of the following is the case:
(a) Immunization against the disease is medically contraindicated for the child;
(b) The child's parent or guardian has declined to have the child immunized against the disease for reasons of conscience, including religious convictions;
(c) Immunization against the disease is not medically appropriate for the child's age.
(2) In the case of influenza, a child is not required to be immunized against the disease if the seasonal vaccine is not available.
(D) (1) The medical statement shall include all of the following information:
(a) The dates that a child received immunizations against each of the diseases specified in division (B) of this section;
(b) Whether a child is subject to any of the exceptions specified in division (C) of this section.
(2) The medical statement shall include a component where a parent or guardian may indicate that the parent or guardian has declined to have the child immunized.
Cite as (Casemaker) R.C. § 5104.014
History. Added by 130th General Assembly File No. TBD, HB 394, §1, eff. 3/19/2015.
The state of Ohio has 3 types of exemptions: Medical and Reasons of Conscience, including Religious convictions.
Medical exemptions require a signature from a licensed physician in the state of Ohio.
Exemptions for reason of conscience, including religious conviction require a signed written statement from the parent or guardian submitted to the school upon enrollment. There is no pre-written statement or form that you are required to submit for public school. The statement provided to you on this website is just one example. To download this file click here:
Immunization Exemption Statement.pdf
For a current list of vaccine doses that would require an exemption for entry into public schools in Ohio, please check the Ohio Department of Health website here.
What if you've turned in a vaccine exemption statement for your K-12 child yet the school is giving you a hard time? They are requesting that you sign a specific form, or stating they never received your exemption statement. What can you do now?
If the school is failing to communicate exemptions in written or verbal notifications or requesting that you sign a specific form for an exemption, consider the following:
Sample email communication:
To Whom It May Concern:
It has come to my attention that an omission has occurred in the language used to notify parents of vaccine requirements as it relates to Kindergarten, 7th, or 12th grade admission and Ohio Revised Code.
According to ORC 3313.671 (B) (4):
http://codes.ohio.gov/orc/3313.671
“A pupil who presents a written statement of the pupil's parent or guardian in which the parent or guardian declines to have the pupil immunized for reasons of conscience, including religious convictions, is not required to be immunized."
An Ohio Legislative Service Commission (LSC) review of the law, further clarifies by stating:
https://healthfreedomohio.org/resources/Documents/LSC%20Review%203313.671.pdf
"Under current law, a student who presents a written statement of the student's parent or guardian in which the parent or guardian declined to have the student immunized for reasons of conscience, including religious convictions, is not required to be immunized. The statute does not require the parent or guardian to complete or fill out a form. Instead, the statute specifies only that a written statement be submitted. It also does not require the parent or guardian to obtain a signature or statement from the parent's or guardian's clergy member supporting the reasons of conscience or religious convictions exemption."
Parents have the legal right to be fully and accurately informed about the benefits and risks of a medical intervention, including a pharmaceutical product, and be free to make a voluntary decision about whether to accept the risk for their minor child without being misled, coerced, punished, or discriminated for the decision they make.
Being fully and accurately informed of the law in all notifications provided by the district, whether verbal or written, is part of the information a parent needs to make an informed decision. As an individual who values parental rights and freedom of bodily autonomy, I ask that all future notifications include information regarding ORC 3313.671 (B) (4).
Thank you for your time and attention to this sensitive matter. I look forward to working with you on bringing an honest and accurate representation of ORC 3313.671 to the parents of our district.
Sincerely,
If the school is stating they never received your exemption statement, consider the following:
All of this can be done in a very formal, friendly way. If you have any questions, need clarification or assistance, please email us at info@healthfreedomohio.org.
ORC 3313.671 Proof of required immunizations - exceptions.
(A) (1) Except as otherwise provided in division (B) of this section, no pupil, at the time of initial entry or at the beginning of each school year, to an elementary or high school for which the state board of education prescribes minimum standards pursuant to division (D) of section 3301.07 of the Revised Code, shall be permitted to remain in school for more than fourteen days unless the pupil presents written evidence satisfactory to the person in charge of admission, that the pupil has been immunized by a method of immunization approved by the department of health pursuant to section 3701.13 of the Revised Code against mumps, poliomyelitis, diphtheria, pertussis, tetanus, rubeola, and rubella or is in the process of being immunized.
(2) Except as provided in division (B) of this section, no pupil who begins kindergarten at an elementary school subject to the state board of education's minimum standards shall be permitted to remain in school for more than fourteen days unless the pupil presents written evidence satisfactory to the person in charge of admission that the pupil has been immunized by a department of health-approved method of immunization or is in the process of being immunized against both of the following:
(a) During or after the school year beginning in 1999, hepatitis B;
(b) During or after the school year beginning in 2006, chicken pox.
(3) Except as provided in division (B) of this section, during and after the school year beginning in 2016, no pupil who is the age or older than the age at which immunization against meningococcal disease is recommended by the state department of health shall be permitted to remain in a school subject to the state board of education's minimum standards for more than fourteen days unless the pupil presents written evidence satisfactory to the person in charge of admission that the pupil has been immunized by a department of health-approved method of immunization, or is in the process of being immunized, against meningococcal disease.
(4) As used in divisions (A)(1) , (2), and (3) of this section, "in the process of being immunized" means the pupil has been immunized against mumps, rubeola, rubella, and chicken pox, and if the pupil has not been immunized against poliomyelitis, diphtheria, pertussis, tetanus, hepatitis B, and meningococcal disease, the pupil has received at least the first dose of the immunization sequence, and presents written evidence to the pupil's building principal or chief administrative officer of each subsequent dose required to obtain immunization at the intervals prescribed by the director of health. Any student previously admitted under the "in process of being immunized" provision and who has not complied with the immunization intervals prescribed by the director of health shall be excluded from school on the fifteenth day of the following school year. Any student so excluded shall be readmitted upon showing evidence to the student's building principal or chief administrative officer of progress on the director of health's interval schedule.
(B)
(1) A pupil who has had natural rubeola, and presents a signed statement from the pupil's parent, guardian, or physician to that effect, is not required to be immunized against rubeola.
(2) A pupil who has had natural mumps, and presents a signed statement from the pupil's parent, guardian, or physician to that effect, is not required to be immunized against mumps.
(3) A pupil who has had natural chicken pox, and presents a signed statement from the pupil's parent, guardian, or physician to that effect, is not required to be immunized against chicken pox.
(4) A pupil who presents a written statement of the pupil's parent or guardian in which the parent or guardian declines to have the pupil immunized for reasons of conscience, including religious convictions, is not required to be immunized.
(5) A child whose physician certifies in writing that such immunization against any disease is medically contraindicated is not required to be immunized against that disease.
(C) As used in this division, "chicken pox epidemic" means the occurrence of cases of chicken pox in numbers greater than expected in the school's population or for a particular period of time.
Notwithstanding division (B) of this section, a school may deny admission to a pupil otherwise exempted from the chicken pox immunization requirement if the director of the state department of health notifies the school's principal or chief administrative officer that a chicken pox epidemic exists in the school's population. The denial of admission shall cease when the director notifies the principal or officer that the epidemic no longer exists.
The board of education or governing body of each school subject to this section shall adopt a policy that prescribes methods whereby the academic standing of a pupil who is denied admission during a chicken pox epidemic may be preserved.
(D) Boards of health, legislative authorities of municipal corporations, and boards of township trustees on application of the board of education of the district or proper authority of any school affected by this section, shall provide at the public expense, without delay, the means of immunization against mumps, poliomyelitis, rubeola, rubella, diphtheria, pertussis, tetanus, and hepatitis B to pupils who are not so provided by their parents or guardians.
(E) The department of health shall specify the age at which immunization against meningococcal disease, as required by division (A)(3) of this section, is recommended, and approve a method of immunization against meningococcal disease.
Amended by 131st General Assembly File No. TBD, SB 121, §1, eff. 10/15/2015.
Effective Date: 09-30-1998; 05-06-2005
Nonprofit (most “public”) colleges and universities in Ohio must obtain disclosure from all students who will be residing on campus of their vaccination status for meningitis and hepatitis B. There are no other requirements, and private colleges are not included. There are no exemptions because this is a REPORTING requirement, not a vaccination requirement. However, some colleges and universities have enacted their own vaccination requirements, often through student body organizations. Some offer exemptions readily; others do not or claim there are none. For more on this issue and options for declining college-required vaccines, see this blog post. If you are presented with a form from a college or university, compare it to ORC 1733.55 for compliance with the law. Providing the minimum required information is recommended. If you are unsure you can email Health Freedom Ohio at info@healthfreedomohio.org 1713.55. Meningitis and hepatitis B vaccination (B) Beginning with the academic year that commences on or after July 1, 2005, a nonprofit institution of higher education shall not permit a student to reside in on-campus student housing unless the student, or, if the student is younger than eighteen years of age, the student's parent, discloses to the institution whether the student has been vaccinated against meningococcal meningitis and hepatitis B by submitting to the institution the meningitis and hepatitis B vaccination status statement described in division (B) of section 3701.133 of the Revised Code or a meningitis status statement form provided by the institution that meets the requirements of division (B) of section 3701.133 of the Revised Code. The statement may be submitted in written form or, if the institution has a secure web site, in electronic form. (C) On receipt of an application for residence in on-campus student housing, a nonprofit institution of higher education shall do both of the following: (1) Inform the student of the disclosure requirement; (2) Provide the student in either written or, if the school has a secure web site, electronic form the meningitis and hepatitis B vaccination status statement described in division (B) of section 3701.133 of the Revised Code or a meningitis status statement form provided by the institution that meets the requirements of division (B) of section 3701.133 of the Revised Code. (D) This section does not require an institution to provide or pay for a meningococcal meningitis or hepatitis B vaccination for any student. |
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