All Utah Connections Academy students must provide evidence of their immunizations. Please submit one of the following:
- A Utah School Immunization Record (Pink Card) signed by a licensed physician, registered nurse, or public health official.
- If the Utah School Immunization Record is not signed by a license physician, registered nurse, or public health official, it must be accompanied by a current copy of the student’s shot record signed by a licensed physician, registered nurse, or public health official.
- Any immunization record signed by a licensed physician, registered nurse or public health official.
A student may be exempt from immunizations for medical, religious, or personal belief reasons. To receive a vaccination exemption form, the legally responsible individual of a student must complete an online education module (free of charge), print the vaccine exemption form, and present the form to the school.
If the legally responsible individual declines to complete the online education module, he/she must receive an in-person consultation at the local health department ($25.00 fee may apply), sign the exemption form at the local health department, and provide a copy of the completed school immunization exemption form to the school official.
For a medical exemption from vaccination, the legally responsible individual of the student must present to the school a completed vaccination exemption form and a written notice signed by a licensed healthcare provider stating that due to the physical condition of the student, administration of the vaccine would endanger the student’s life or health.