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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.

*Important Note – The Online Immunization Educational Module may not operate accurately when accessed using the Safari browser. If the module malfunctions (while using Safari) you will be required to re-take the module. Therefore it is recommended to avoid using the Safari browser.

For assistance call 801-538-9450.

For suggestions to improve the module Email: immunize@utah.gov