Outline of the state of Tennessee
Allowed for religious or moral reasons

Vaccination Waiver

Vaccination Waiver

State law allows waivers for religious or moral reasons.

Required Immunizations

This site describes immunization expemptions for chidlren.

Policy Type

Tennessee Adminstrative Rules and Regulations 1200-14-01-.29 Immunization Against Certain Diseases Prior to School Attendance in Tennessee

(18) An individual may be exempted from the requirements of this section only under the following circumstances:

  • (a) Where a physician licensed by the Board of Medical Examiners, the Board of Osteopathic Examiners or a public health nurse employed by a local Health Department determines that a particular vaccine is contraindicated for one of the following reasons:

    1. the individual meets the criteria for contraindication set forth in the manufacturer's vaccine package insert; or
    1. the individual meets the criteria for contraindication published by the U.S. Centers for Disease Control or the ACIP;
    1. in the best professional judgment of the physician, based upon the individual's medical condition and history, the risk of harm from the vaccine outweighs the potential benefit.
  • (b) An individual who has been exempted from a particular vaccination must comply with immunization requirements for any vaccines from which he/she has not been exempted.

  • (c) Where a parent or guardian, or in the case of an adult student, the student, provides to the school a written statement, affirmed under penalties of perjury, that vaccination conflicts with the religious tenets and practices of the parent or guardian, or in the case of an adult student, the student.

Policy Type

Tennessee Code Annotated 49-6-5001. General provisions

(a) The commissioner of health is authorized, subject to the approval of the public health council, to designate diseases against which children must be immunized prior to attendance at any school, nursery school, kindergarten, preschool or child care facility of this state.


  • (1) It is the responsibility of the parents or guardian of children to have their children immunized, as required by subsection (a).

  • (2) In the absence of an epidemic or immediate threat of an epidemic, this section shall not apply to any child whose parent or guardian files with school authorities a signed, written statement that the immunization and other preventive measures conflict with the parent's or guardian's religious tenets and practices, affirmed under the penalties of perjury.

Policy Type