Get Your Non-Medical Exemption Form Notarized
By law, Minnesota parents/guardians who do not want their child immunized must submit a signed notarized statement to their child's school or child care facility. This also applies to college enrollees in Minnesota.
To do this, you may either:
- Use the MDH Immunization Form (see Vaccine for Infants, Children, and Adolescents) for child care, early childhood education, or school, which has a place for a parent's/guardian's signature and the notary's stamp,
- Use the form provided by your child care, school, or college, if they have one, or
- Make your own form stating your non-medical objection to specific immunization(s) and sign it and have it notarized.
Note: The parent/guardian or student over 18 years of age must sign the form in front of the notary.
