
In Missouri, children are required to receive certain immunizations before they can attend school in person. Missouri recognizes both religious and medical exemptions for parents who do not want to vaccinate their children. Parents requesting a religious exemption can sign a written statement, while medical exemptions require a written statement signed by a licensed doctor. Schools won't allow children to attend without their complete vaccination records, and parents should not wait too long to schedule immunizations for their children. Missouri also offers free vaccines through school districts, and children with health insurance may receive routine immunizations from their healthcare providers.
| Characteristics | Values |
|---|---|
| Religious exemption | Yes, with a signed notarized affidavit |
| Medical exemption | Yes, with a written statement signed by a licensed doctor |
| Vaccination requirements | Meningococcal ACWY vaccine (2 doses); Meningococcal B vaccine (2 doses if needed); Tdap (tetanus, diphtheria and pertussis) vaccine; Varicella vaccine (chickenpox) |
| Vaccination providers | School districts, health care providers, Missouri Department of Health and Senior Services |
| Age limit | Vaccines provided for children up to 18 years old |
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What You'll Learn

Religious and medical exemptions
In Missouri, children are required to receive certain immunizations before they can go to school in person. However, Missouri recognizes religious and medical exemptions for parents who don't want to vaccinate their kids.
Religious Exemptions
Parents seeking a religious exemption from vaccinations for their children in Missouri must submit a signed, written statement to the school stating that their religion does not allow their child to be vaccinated. This exemption can apply to one or all vaccinations. The written note must be obtained from a local public health agency or the state bureau of immunizations. Additionally, they must complete and submit Form 11, the state-issued waiver form, to obtain a vaccination waiver.
Medical Exemptions
To obtain a medical exemption, parents must provide a medical exemption form signed by a licensed doctor stating that the required vaccines would seriously endanger the life or health of the student. Parents will mark which vaccine their child is being exempted from, and the doctor will sign off on the Missouri form.
School Requirements
Schools in Missouri require children to be vaccinated before they can attend in person. Parents should not wait too long to schedule immunizations for their children, as schools will not allow unvaccinated children to attend. Additionally, when students advance to a new school, parents should check with the school or healthcare provider to see if new immunizations are needed.
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Required vaccinations for school
Missouri requires children to receive specific vaccinations before they can enter or continue their education in all public and some private schools. These vaccinations are offered for free in some school districts, such as Kansas City Public Schools, which host clinics during the summer for parents to take their children to get vaccinated.
The state recognizes medical and religious exemptions for parents who do not want to vaccinate their children. To obtain a medical exemption, parents must provide a written statement signed by a licensed doctor, stating that the required vaccines would seriously endanger the child's health or life. For a religious exemption, parents must sign a written statement explaining that their religion does not allow their child to be vaccinated.
Missouri state law requires students entering the 8th and 12th grades to have the meningococcal vaccine (MCV). Students entering the 8th grade must have one dose, while students entering the 12th grade need two doses, unless the first dose was administered when the student was 16 or older. Students in kindergarten through 10th grade must provide proof of the varicella vaccine or chickenpox, with a signed note from a healthcare provider. Students in grades 11 and 12 can provide proof with a signed note from a parent, guardian, or healthcare provider. Additionally, all students are required to have the Tdap vaccine (tetanus, diphtheria, and pertussis).
It is important to note that immunization records must be up-to-date, and schools will not allow children to attend without their complete vaccination records. Parents should also be mindful of checking for any new immunization requirements when their children transition to a new school level, such as starting middle school or high school.
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Immunization rules for daycare
Missouri state law requires children to receive certain immunizations before they can enrol in or attend any public, private, or parochial daycare center, preschool, or nursery school caring for ten or more children. These immunizations must be against vaccine-preventable childhood illnesses specified by the Missouri Department of Health and Senior Services, in accordance with recommendations from the Immunization Practices Advisory Committee (ACIP).
However, Missouri also recognizes religious and medical exemptions for parents who don't want to vaccinate their kids. To obtain a religious exemption, parents must sign a written statement indicating that their religion does not support immunizing their child. This statement must be obtained from a local public health agency or the state Bureau of Immunizations. For a medical exemption, parents must provide a written statement signed by a licensed doctor, stating that the required vaccines would seriously endanger the child's life or health.
It is important to note that unimmunized children may be excluded from childcare or preschool when outbreaks of vaccine-preventable diseases occur. Additionally, parents should not delay scheduling their children's vaccine appointments, especially during the back-to-school rush in July and August.
To access the relevant exemption forms, parents can visit the Missouri Department of Health and Senior Services website, which provides forms for both medical and religious exemptions for childcare and preschool. These forms can be found under the “Code of State Regulations” section on the website.
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Free vaccines in school districts
In Missouri, children are required to receive certain immunizations before they can attend school in person. School districts across the state offer free vaccines, such as Kansas City Public Schools, which host clinics during the summer where parents can take their children to get vaccinated. Parents are advised not to delay scheduling their children's vaccination appointments, especially during the busy months of July and August.
The St. Louis County Department of Public Health's vaccine clinics offer free walk-in vaccinations for all ages. The following clinics are open from 8:30-10:30 a.m. and 1-3 p.m. on weekdays:
- John C. Murphy Health Center, 6121 North Hanley Road in Berkeley.
- South County Health Center, 4580 South Lindbergh Blvd. in Sunset Hills.
- North Central Community Health, 4000 Jennings Station Road in Pine Lawn.
CareSTL Health in St. Louis also provides free pediatric immunizations regardless of socioeconomic status or income, with locations at 5471 Martin Luther King Drive, 4500 Pope Ave., and 5541 Riverview Blvd.
Missouri also has a program called Vaccines for Children, which provides free vaccines to children under 19 who are uninsured, underinsured, or have insurance that does not cover vaccines.
While vaccinations are generally mandatory for school attendance in Missouri, the state does allow exemptions for medical and religious reasons. Parents requesting an exemption must provide the school with the appropriate exemption form. To obtain a medical exemption, a licensed doctor must sign a statement indicating that the required vaccines would seriously endanger the student's health or life. For a religious exemption, parents must sign a statement indicating that their religion does not allow their child to be vaccinated.
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Meningococcal and Tdap vaccines
Missouri requires children to receive certain immunizations before they can attend school in person. While Missouri recognizes religious and medical exemptions for parents who don't want to vaccinate their kids, it is still mandatory for parents or guardians to provide evidence of the required immunizations. This includes a signed statement from a licensed doctor stating that the required vaccines would endanger the child's health or life.
The Tdap vaccine, on the other hand, protects against three diseases: tetanus, diphtheria, and pertussis (whooping cough). Tetanus, also known as lockjaw, can cause painful muscle spasms and lead to life-threatening complications. Diphtheria primarily affects the nose and throat but can also lead to heart and nerve damage. Pertussis, commonly known as whooping cough, is highly contagious and causes violent coughing fits that can make it difficult to breathe.
It is recommended to schedule vaccine appointments for children in a timely manner, especially before the back-to-school rush in July and August, to ensure they are protected from these serious diseases.
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Frequently asked questions
Yes, Missouri state law requires children to be vaccinated against certain diseases before entering or continuing their education in public and some private schools.
The required vaccines include the meningococcal vaccine (MCV), Tdap (tetanus, diphtheria, and pertussis), and the varicella vaccine (chickenpox). Children in Missouri are also required to have the flu vaccine every year, beginning in September or October.
Yes, Missouri recognizes religious and medical exemptions for parents who don't want to vaccinate their children. To obtain a medical exemption, parents must provide a written statement signed by a licensed doctor stating that the vaccines would seriously endanger the child's life or health. For a religious exemption, parents need to sign a written statement indicating that their religion does not allow their child to be vaccinated.








































