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