1. A. For a child attending a school, the child is exempt from the applicable immunization requirements in R9-6-702 for personal beliefs, as allowed by A.R.S. § 15-873(A)(1), if the child’s parent submits to the school a statement of exemption from immunization for personal beliefs, in a Department-provided format, that contains:

   1. 1. The parent’s name,
   2. 2. The child’s name,
   3. 3. The child’s date of birth,
   4. 4. The immunizations from which the child’s parent is requesting an exemption,
   5. 5. A statement that the parent is requesting the exemption based on personal beliefs, and
   6. 6. The signature of the child’s parent and the date signed.

2. B. For a child attending a child care, the child is exempt from the applicable immunization requirements in R9-6-702 for religious beliefs, as allowed in A.R.S. § 36-883(C), if the child’s parent submits to the child care a statement of exemption from immunization for religious beliefs, in a Department-provided format, that contains:

   1. 1. The parent’s name,
   2. 2. The child’s name;
   3. 3. The child’s date of birth;
   4. 4. The immunizations from which the child’s parent is requesting an exemption;
   5. 5. A statement that the parent is requesting the exemption based on religious beliefs, and
   6. 6. The signature of the child’s parent and the date signed.

3. C. A child is exempt from the applicable immunization requirements in R9-6-702, as allowed by A.R.S. § 15-873(A)(2), if the child’s parent submits to a school or child care a certification of medical exemption from immunization, in a Department-provided format, that contains:

   1. 1. The parent’s name;
   2. 2. The child’s name;
   3. 3. The child’s date of birth;
   4. 4. The immunizations from which the child’s parent is requesting an exemption;
   5. 5. A statement that the parent is requesting a medical exemption according to A.R.S. § 15-873(A)(2);

   6. 6. Statements from a physician or registered nurse practitioner that:

      1. a. The immunizations specified according to subsection (C)(4) may be harmful to the child’s health;
      2. b. Indicate the specific nature of the medical condition or circumstance that precludes immunization;
      3. c. Indicate whether the medical exemption is permanent or temporary; and
      4. d. If the medical exemption is temporary, provide the date the medical exemption ends;
   7. 7. The signature of the physician or registered nurse practitioner providing the medical exemption and the date signed; and
   8. 8. The signature of the child’s parent and the date signed;

4. D. A child is exempt from the applicable immunization requirements in R9-6-702 due to immunity if the child’s parent submits to a school or child care:

   1. 1. A certification of medical exemption from immunization due to immunity, in a Department-provided format, that contains:

      1. a. The parent’s name;
      2. b. The child’s name;
      3. c. The child’s date of birth;
      4. d. The name of each disease for which the child’s parent is requesting an exemption from immunization requirements;
      5. e. A statement that the parent is requesting a medical exemption from immunization due to the child’s immunity to a disease;

      6. f. A statement from a physician or registered nurse practitioner that the physician or registered nurse practitioner has determined that the child is immune to the disease specified according to subsection (D)(1)(d), for which an exemption from immunization requirements is being requested, based on:

         1. i. For measles, rubella, or varicella, a review by the physician or registered nurse practitioner of laboratory evidence of immunity for the child; or

         2. ii. For a disease other than measles, rubella, or varicella, a review by the physician or registered nurse practitioner of either:

            1. (1) Laboratory evidence of immunity for the child, or
            2. (2) The medical records of the physician or registered nurse practitioner;
      7. g. The signature of the physician or registered nurse practitioner providing the medical exemption and the date signed; and
      8. h. The signature of the child’s parent and the date signed; and
   2. 2. If applicable, a copy of the laboratory evidence of immunity.

5. E. An administrator of a school or a child care administrator shall:

   1. 1. Include a child’s exemption from the requirements in R9-6-702 in the documentation required in R9-6-705(A)(1); and

   2. 2. If a child has a temporary medical exemption:

      1. a. Allow the child to attend a school or child care until the date the temporary exemption ends; and
      2. b. At least 30 calendar days before the temporary medical exemption ends, notify the child’s parent in writing of the date by which the child is required to complete all immunizations.

Table 1. Renumbered

Historical Note

Adopted effective January 20, 1992 (Supp. 92-1). Article 7, Table 1 renumbered from Article 5, Table 1 and amended effective October 19, 1993 (Supp. 93-4). Amended effective April 4, 1997 (Supp. 97-2). Amended by final rulemaking at 5 A.A.R. 496, effective January 19, 1999 (Supp. 99-1). Amended by final rulemaking at 6 A.A.R. 1310, effective March 17, 2000 (Supp. 00-1). Table 1 renumbered to follow R9-6-707 by final rulemaking at 8 A.A.R. 4274, effective September 16, 2002 (Supp. 02-3).

Table 2. Renumbered

Historical Note

Adopted effective January 20, 1992 (Supp. 92-1). Article 7, Table 2 renumbered from Article 5, Table 2 and amended effective October 19, 1993 (Supp. 93-4). Amended effective April 4, 1997 (Supp. 97-2). Amended by final rulemaking at 5 A.A.R. 496, effective January 19, 1999 (Supp. 99-1). Amended by final rulemaking at 6 A.A.R. 1310, effective March 17, 2000 (Supp. 00-1). Table 2 renumbered to follow R9-6-707 by final rulemaking at 8 A.A.R. 4274, effective September 16, 2002 (Supp. 02-3).

Historical Note

Former Section R9-6-115, Paragraph (3), renumbered and amended as R9-6-706 effective January 28, 1987 (Supp. 87-1). Former Section R9-6-706 renumbered to Section R9-6-306, new Section R9-6-706 renumbered from R9-6-506 and amended effective October 19, 1993 (Supp. 93-4). Amended effective April 4, 1997 (Supp. 97-2). Former Section R9-6-706 renumbered to R9-6-707; new Section R9-6-706 renumbered from R9-6-705 and amended by final rulemaking at 8 A.A.R. 4274, effective September 16, 2002 (Supp. 02-3). Amended by final rulemaking at 11 A.A.R. 2283, effective June 7, 2005 (Supp. 05-2). Amended by final rulemaking at 13 A.A.R. 4106, effective January 5, 2008 (Supp. 07-4). Amended by final expedited rulemaking at 24 A.A.R. 2682, effective September 4, 2018 (Supp. 18-3).