Code of Colorado Regulations
1000 - Department of Public Health and Environment
1009 - Disease Control and Public Health Response Division
6 CCR 1009-2 - THE INFANT IMMUNIZATION PROGRAM AND IMMUNIZATION OF STUDENTS ATTENDING SCHOOL
Section 6 CCR 1009-2-III - Exemptions from Immunization

Universal Citation: 1000 CO Code Regs 6 CCR 1009-2-III

Current through Register Vol. 48, No. 6, March 25, 2025

A parent or legal guardian shall have their student immunized, unless the student is exempted. An emancipated student or a student eighteen years of age or older shall have themselves immunized, unless the student is exempted. A student is exempted from receiving the required immunizations when the requirements of either Paragraph A or B of this Section III are met.

A. Medical exemption - A student obtains a medical exemption from one or more immunization requirements through submission of the Department's Certificate of medical exemption completed and signed by an advanced practice nurse, a delegated physician assistant, or physician licensed to practice medicine or osteopathic medicine in any state or territory of the United States indicating that the physical condition of the student is such that one or more immunizations would endanger their life or health or is medically contraindicated due to other medical conditions. This form is to be submitted once, unless the student's information or school changes, and must be maintained on file at each new school the student attends.

B. Nonmedical exemption - A student obtains a nonmedical exemption from one or more immunization requirements through submission of the Department's Certificate of nonmedical exemption signed by one parent or legal guardian, an emancipated student, or a student eighteen years of age or older. A completed Certificate of nonmedical exemption must also include either:

1. The signature of a person who is authorized pursuant to Title 12 to administer immunizations within their scope of practice, or

2. Confirmation of completion of the Department's online education module described in Section XII of this rule.

3. Frequency of submission:
a. Prior to kindergarten entry, the Department's Certificate of nonmedical exemption must be submitted at each interval in the ACIP birth-18 years immunization schedule at which immunizations are due. This documentation is required only for those vaccines required to prevent the diseases listed in section II (A). Exemptions will expire at the time next immunizations are due according to the ACIP birth-18 years immunization schedule or when the student is enrolled to attend kindergarten.

b. From kindergarten through twelfth grade, the Department's Certificate of nonmedical exemption must be submitted once per school year. Exemptions will expire annually on June 30th, the last official day of the school year.

C. In the event of a disease outbreak for which immunization is required, no exemption or exception from immunization shall be recognized and exempted persons may be subject to exclusion from school and quarantine.

D.

1. Immunization records of each student participating in a nonpublic home-based education program pursuant to Section 22-33-104.5, C.R.S., shall be maintained on a permanent basis by the parent in charge and in control of said program, and are required to be submitted:
a. When a school district requires compliance with Section 25-4-902, C.R.S. pursuant to Section 22-33-104.5(3)(G), C.R.S.

b. When requested by a school district, institute charter school, or private school which the student attends for a portion of the school day.

2. A school district that is exercising its authority pursuant to Section 22-33-104.5(3)(G) or an independent school organized pursuant to Section 22-33-104(2)(B) where students are enrolled but do not attend is entitled to only:
A. A student's immunization records, as provided by the parent or legal guardian; or

B. A statement signed by a parent or legal guardian that the student is exempt from immunization.

E. All information distributed to parent(s) by school districts regarding immunizations shall inform them of their rights in Section III (A-D).

Disclaimer: These regulations may not be the most recent version. Colorado may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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