WYOMING - IMMUNIZATION EXEMPTIONS by State (includes current statutes, letters & forms)IMMUNIZATION EXEMPTIONS by State (includes current statutes, letters & forms)Wyoming Current Statutes & Laws: http://www.909shot.com/state-site/Wyoming.htm Medical & Religious WAIVER OF IMMUNIZATION. -- The statute clearly requires a waiver to be issued upon receipt of written evidence of a medical contraindication to the administration of any vaccine, and the statute does not require that a specific reason be given for a medical contraindication. Jones v. State Dep't of Health, 18 P.3d 1189 (Wyo. 2001) The statute mandates the issuance of an exemption from immunization for school children upon a written religious objection and does not permit an inquiry by the department of health into the sincerity of the religious beliefs of an applicant. LePage v. State, 18 P.3d 1177 (Wyo. 2001)
Exemption Letters & Forms... Birth Exemptions: For those who are planning a hospital birth but want to evade invasive routine post natal procedures such as a Hep B shot, vitamin K injection, newborn screening, or the application of silver nitrate in the newborn's eyes, a very specific birthing plan must be submitted to the hospital in advance of the birth. Hospital staff must be informed, in advance, of your needs, wants and desires where your baby and birthing experience are concerned. The same applies to midwives. ----- Original Message ----- From: "Dr. Gary Melinkovich" < GMELIN@state.wy.us > To: < spearce@vcn.com > Cc: "Morris Gardner" < MGARDN@state.wy.us > Sent: Friday, July 22, 2005 11:02 AM Subject: Re: questions about newborn requirements Your questions were referred to me for a direct response. I will address each of the questions individually. 1. Vitamin K: There are no statutes that mandate Vitamin K administration for all newborns. Most hospital medical providers have a set list of orders that are routinely followed and vitamin K administration is probably on that list for all providers that provide services in the hospital setting. If a parent does not want to have the dose of vitamin K given to their newborn, they should discuss this with the provider before the delivery since Vitamin K is often given soon after delivery. 2. Silver Nitrate eye drops: There are no statutes that mandate Silver Nitrate eye drops for all newborns. Most hospital medical providers have a set list of orders that are routinely followed and Silver Nitrate eye drops are probably on that list for all providers that provide services in the hospital setting. If a parent does not want to have the Silver Nitrate eye drops given to their newborn, they should discuss this with the provider before the delivery since Silver Nitrate eye drops are often given soon after delivery. 3. There is a statute that addresses both Newborn Metabolic Screening and Newborn Hearing Screening. The statute mandates both screens for all newborns but parents can "opt out" of one or both screens. Parents are asked to sign a separate consent form for both procedures and there is an option on both forms for the parent to forgo the testing. All that is needed is to sign the denial statement on the consent form. Gary Melinkovich, M.D., MPH Wyoming Dept. of Health Phone (307) 777-7751 Fax (307) 777-7739 gmelin@state.wy.us >>> "Susan Pearce" I have questions about newborn requirements and thought you would know the answers. I need to know what the Wyoming statutes say on Vitamin K at birth. Can a person refuse it for religious or personal reasons? Can a natural substitute in lieu of Vitamin K, like this natural alternative at http://www.bioticsresearch.com/Products/BioK.htm, be used? If there is a statute which states whether it's a mandate or just recommended, plus the exemption part of the statute, I would like to see it. In addition, I would like to see whether or not there is a statute concerning the eye drops that are given to newborns. Are there statutes about mandatory newborn testing? Thank you for your help. Sincerely, Susan Pearce P.O. Box 615 Buffalo, WY 82834 307-655-2574 spearce@vcn.com Exemptions from newborn screening allowed. Wyo. Stat. § 35-4-801 requires informed consent of parents to be obtained in order to screen for detection of metabolic diseases. If any parent or guardian of a child objects to a mandatory examination the child is exempt from the law. Wyo. Stat. § 35-4-801 (c) (c) Informed consent of parents shall be obtained and if any parent or guardian of a child objects to a mandatory examination the child is exempt from subsection (a) of this section. The consent form also has the refusal on the same form. Public Health Nurses have these forms. http://www.ncsl.org/programs/health/screeningprivacy.htm Hearing Screening... WYOMING Statute: 35-4-801. (c) Informed consent of parents shall be obtained and if any parent or guardian of a child objects to mandatory examination the child is exempt from subsection (a) of this section. [Source: SEA 009, 1999] Vitamin K Injection... The prescribing information on Vitamin K shot states that fatalities are an adverse reaction according to the Merck pharmaceutical package insert. http://www.fda.gov/medwatch/SAFETY/2003/03Feb_PI/AquaMEPHYTON_PI.pdf "WARNING - INTRAVENOUS USE Severe reactions, including fatalities, have occurred during and immediately after the parenteral administration of AquaMEPHYTON® (Phytonadione)."Alternatives to Vitamin K Prophylaxis... Although oral vitamin K is not licensed for use as a drug by the FDA, drops for oral administration are available. Typically, one drop contains 2 mg. of vitamin K. Contact a midwife in your area, or a birthing supply company (such as birthwithlove.com), or Scientific Botanicals (206 527-5521) where your health care provider can order liquid vitamin K directly. Here's another much safer alternative that your chiropractor or naturopath can order for you. http://www.bioticsresearch.com/Products/BioK.htm A good organic whole food diet along with lots of leafy green vegetables is all that is necessary to prevent vitamin K deficiency in newborns. Sample Vaccine Letters Most states now require the Hepatitis B vaccine for newborns. Many parents are also cornered by emergency room personnel during accident visits. Hospitals nationally are under pressure to utilize every opportunity to score a "hit." If your pediatrician understands your views, get him involved with the hospital. As a last resort, protect your right to receive quality care in the following manner. (Usually, you'll never find anybody in the hospital to sign this simple form): "I certify that the (Name of Vaccine)________ vaccine being administered to (Name of Child)_________ is free from all known and yet unknown zoonotic or human viruses or viral fragments and will not cause acute or chronic illness in the recipient due to viral contamination or as a reaction to the components of this vaccine. (Signature of Physician and Date)_________." If you do get a signature, hold on to the form. (Links to model birth plan letter and acceptance of responsibility) Acceptance of Responsibility. http://www.vaclib.org/legal/accept1.htm Model Birth Plan Letter for Hospital Births. You can attach an exemption from immunizations. In some states, there are religious exemptions from newborn screening tests such as PKU, etc... (.doc) Model Letter for Hospital Births (Model11425.doc) Model Birth Plan Letter for Hospital Births. This one is more detailed. (.doc)
Model letter for hospital births 2.doc (11426)
Model Birth Plan Letter for Hospital Births for an adopted child... Model letter for hospital births for adoptions -- Dear Doctor and Medical Staff.doc (11427) (.doc) VaccineTruth.net/letters/Model letter for hospital births for adoptions.doc
The above documents can also be made available in WordPerfect AFFIDAVIT I/We, _________________________, Sui Juris, Free, Natural Flesh and Blood Human Being(s), state Citizen(s) of the Wyoming Republic affirm: Be it known to all courts, governments, and other parties that: Being (a person/people) of Strong Christian Morals, it is against (my/our) Deep, Sincerely Held, Religious Convictions to accept the injection of any foreign substance into (my Body/our Bodies) or the Body of (my/our) Child. This includes, but is not limited to, any and all, Vaccinations, Shots, Tests for Diseases, Oral Vaccines, Epidermal Patches and in any other way that Live or Killed Bacterium, Viruses, Pathogens, Germs, or any other Microorganisms, may be introduced into or upon (my/our) newborn's body. This written statement to exempt (my/our) newborn from any immunizations, newborn screening, and the Vitamin K shot, because (Iwe) hold genuine and sincere personal religious beliefs which are inconsistent with these medical procedures & experimentation. The practice of vaccination and the injection or application of any foreign substance is contrary to (my/our) conscientiously held religious beliefs and practices, and violates the free exercise of (my/our) religious principles. The Hepatitis-B vaccine supposedly protects against a disease that is only transmitted through multiple sexual partners or street IV drug users and therefore usurps (my/our) parental authority to condemn such activity in (my/our) child. The acceptance of this vaccine promotes sexual promiscuity and immoral behavior in direct contradiction to the teachings of (my/our) faith. The prescribing information on Vitamin K shot states that fatalities are an adverse reaction according to the Merck pharmaceutical package insert. http://www.fda.gov/medwatch/SAFETY/2003/03Feb_PI/AquaMEPHYTON_PI.pdf "WARNING - INTRAVENOUS USE Severe reactions, including fatalities, have occurred during and immediately after the parenteral administration of AquaMEPHYTON® (Phytonadione)."A conflict arises because (my/our) religious convictions are predicated on the belief that all life is sacred. God's commandment "Thou Shall Not Kill" applies to the practice of injection of carcinogenic substances that can kill. (We / I) {First and Last name(s)}, as the {(parent (s) /guardian(s)} of (name of newborn child) are exercising (our/my) rights under the First Amendment of the US Constitution, Statute: 35-4-801. (c), and, Wyo. Stat. § 35-4-801 (c) to receive Religious Exemption from Vaccination, ALL injections, & testing. Applicable law has been interpreted to mean that a religious belief is subject to protection even though no religious group espouses such beliefs or the fact that the religious group to which the individual professes to belong may not advocate or require such belief. Title VII of the Civil Rights Act of 1964 as amended Nov. 1, 1980; Part 1605.1-Guidelines on Discrimination Because of Religion. Our legal rights are guaranteed by the free exercise clause of the First Amendment to the U.S. Constitution. Recent court decisions have upheld the rights of individuals seeking exemptions from immunizations based upon personal and religious reasons. On the U.S. Supreme Court level in Frazee V. Illinois Dept. of Security, 489 U.S. 829, it was found that a state may not deny an exemption simply because a person is not a member of a formal religious organization. The Lord Jesus Christ and Our Creator are the only source of protection of (my body/our bodies) and that of (my/our) family that (I/we) can accept. (I/We) affirm that vaccination & injections of any foreign substances and proteins conflict with (my/our) religious beliefs as stated above. Therefore, (I/we) would request that you accommodate (my/our) religious beliefs and practices by exempting (my/our) newborn child from any vaccinations, injections and testing of any kind. Rest assured that (my family and I/our family) do practice a form of immunization that keeps our immune systems strong and is in keeping with Biblical principles. Further Affiant Saith Not The use of notary below is for identification only, and such use does NOT grant any jurisdiction to anyone. Subscribed and sworn, without prejudice, and with all rights reserved, (Print Name Below) _______________________________________________________________, Principal, by Special Appearance, in Propria Persona, proceeding Sui Juris. _______________________________ Signature of Affiant ACKNOWLEDGMENT state of Wyoming county of _________________: On this _______ day of ______________, 200__, before me personally appeared __________________________________, to me known to be the person described in and who executed the foregoing instrument and acknowledged that he executed the same as his free act and deed, for the purposes therein set forth. _______________________________________ (Notary Public) My Commission Expires ______________________________, 200___ ___________________________________________________________________________ Hearing Screening Statute: 35-4-801. (c) Informed consent of parents shall be obtained and if any parent or guardian of a child objects to mandatory examination the child is exempt from subsection (a) of this section. [Source: SEA 009, 1999] Wyo. Stat. § 35-4-801 (c) (c) Informed consent of parents shall be obtained and if any parent or guardian of a child objects to a mandatory examination the child is exempt from subsection (a) of this section. The above AFFIDAVIT is available in Microsoft Word Click here to Contact Donna. Birth Certificate and Marriage License Opt-Out: Did you know that you can REFUSE to sign the hospital birth certificates and that there is no law that requires you to do so? See: Marriage Licenses, Birth Certificates & #SSNs Postnatal - 2 months (first "well baby" visit): If you do take your new baby to an MD as opposed to a naturopath and/or chiropractor, please be aware and careful of any forms you sign. We're referring to those "Refusal To Vaccinate" forms put out by the American Academy of Pediatrics. Go to this page below and find out why signing this form is very dangerous. We all know about these forms and how they can be used to undermine parental rights... http://www.vaclib.org/legal/donotsign.htm State Form Required: Yes. Must be obtained from the *Wyoming Department of Health. The official form you have to use has a picture of the Wyoming state seal in the top left corner. It is in "duplicate" form, which is one white sheet attached to a yellow sheet that will be separated, probably by the county or state health officer after he signs it. The white sheet, on the top, says PARENT/GUARDIAN at the bottom, and the yellow one says STATE HEALTH OFFICER at the bottom, because he needs that for state records. Contact the following for a copy of this form: *Wyoming Department of Health Web site http://wdh.state.wy.us/main/index.asp e-mail wdh@state.wy.us Brent D. Sherard, M.D., Director and State Health Officer 117 Hathaway Building Cheyenne, WY 82002 Policy and Procedures Medical or Religious Exemption Procedure (.pdf) http://wdh.state.wy.us/immunization/pdf/medicalreligious.pdfDaycare & Preschools: Must be obtained from the *Wyoming Department of Health. Schools: Must be obtained from the *Wyoming Department of Health.
*Note: Often this form may be obtained locally. Ask your county public heath depaartment or the county health officer for the exemption form. Physicians' offices, darecare, preschools and schools may also carry this form.
Opt-Outs: Military Recruiters: STUDENT OPT OUT FORM regarding the RELEASE OF NAME, ADDRESS, AND TELEPHONE NUMBER TO MILITARY RECRUITERS (.pdf) http://www.militaryfreeschools.org/PDF/optout2.pdfUNDERGROUND ACTION ALLIANCE STUDENT OPT OUT FORM (.pdf) http://www.militaryfreezone.org/opt_out.pdfSAMPLE ENGLISH - BINGUAL FORMS FOR OPTING OUT Act to Protect Your Privacy from Military Recruiters (.pdf) http://www.afsc.org/pacificsw/documents/Opt-Out-Form.pdf STUDENT OPT-OUT - Google Search STUDENT OPT-OUT NOTICE regarding the instruction of sexuality to children: STUDENT OPT-OUT NOTICE Valid in all 50 states (.pdf) http://www.ccv.org/images/StudentOptOutNotice.PDF (.pdf) http://www.catholiccitizens.org/content/img/f26422/opt%20out%20notice.pdfEntire packet... STUDENT OPT-OUT NOTICE - Google Search Colleges & Universities: (.pdf) Meningitis Laws by StateMost colleges have a mandatory health form that is required before they will grant an exemption. You can use an exemption letter or affidavit along with the health form if necessary. Note: I would like to thank the individual who sent me that information regarding the mandatory health form requirement before exemption could be granted.. If you read this and still have the info and that particular form, please resend it, as it got lost in a computer crash a while back. I'll post it this time. Thank you. Donna Carrillo, co-director Vaccination Liberation AFFIDAVIT for Wyoming Adult (college & employment religious exemption) ... Edit as needed... AFFIDAVIT is available in Microsoft Word AFFIDAVIT I, _________________________, Sui Juris, Free, Natural Flesh and Blood Human Being, state Citizen of the Wyoming Republic affirm: Be it known to all courts, governments, and other parties that: Being a person of Strong Christian Morals, it is against my Deep, Sincerely Held, Religious Convictions to accept the injection of any foreign substance into my Body. This includes, but is not limited to, any and all, Vaccinations, Shots, Tests for Diseases, Oral Vaccines, Epidermal Patches and in any other way that Live or Killed Bacterium, Viruses, Pathogens, Germs, or any other Microorganisms, may be introduced into or upon my body. This written statement to exempt myself from the immunization requirement, and the Mantoux (PPD) Tuberculin Test, because I hold genuine and sincere personal religious beliefs which are inconsistent with these medical procedures and experimentation. The practice of vaccination and the injection of any foreign substance is contrary to my conscientiously held religious beliefs and practices, and violates the free exercise of my religious principles. The attenuated virus used to produce the Rubella vaccine (RA27/3) was obtained from an aborted fetus and then cultivated on fetal tissue from another aborted baby (WI-38), and is also in the rubella portion of the MMR-II vaccine. The Chickenpox vaccine containing WI-38, MRC-5 and Hepatitis-A vaccine (MRC-5) were obtained from human babies that were electively aborted. A conflict arises because my religious convictions are predicated on the belief that all life is sacred. God's commandment "Thou Shall Not Kill" applies to the practice of abortion. The acceptance of these vaccines promotes abortion and violates the Sixth Commandment of "Thou Shall Not Kill". The Hepatitis-B vaccine protects against a disease that is only transmitted through multiple sexual partners or street IV drug users. The acceptance of this vaccine promotes sexual promiscuity and immoral behavior in direct contradiction to the teachings of my faith. I, {First and Last name}, am exercising my rights under the First Amendment of the US Constitution and [insert Wyoming college exemption § statute _______ here, or leave blank for employment situations] to receive Religious Exemption from Vaccination & testing. Applicable law has been interpreted to mean that a religious belief is subject to protection even though no religious group espouses such beliefs or the fact that the religious group to which the individual professes to belong may not advocate or require such belief. Title VII of the Civil Rights Act of 1964 as amended Nov. 1, 1980; Part 1605.1-Guidelines on Discrimination Because of Religion. Our legal rights are guaranteed by the free exercise clause of the First Amendment to the U.S. Constitution. Recent court decisions have upheld the rights of individuals seeking exemptions from immunizations based upon personal and religious reasons. On the U.S. Supreme Court level in Frazee V. Illinois Dept. of Security, 489 U.S. 829, it was found that a state may not deny an exemption simply because a person is not a member of a formal religious organization. The Lord Jesus Christ and Our Creator are the only source of protection of my body and that of my family that I can accept. I affirm that vaccination & injections of foreign proteins conflict with my religious belief as stated above. Therefore, I would request that you accommodate my religious beliefs and practices by exempting me from the college vaccination and TB testing requirement. Rest assured that I do practice a form of immunization that keeps my immune system strong and is in keeping with Biblical principles. Further Affiant Saith Not The use of notary below is for identification only, and such use does NOT grant any jurisdiction to anyone. Subscribed and sworn, without prejudice, and with all rights reserved, (Print Name Below) _______________________________________________________________, Principal, by Special Appearance, in Propria Persona, proceeding Sui Juris. _______________________________ Signature of Affiant ACKNOWLEDGMENT state of Wyoming county of _________________: On this _______ day of ______________, 200__, before me personally appeared __________________________________, to me known to be the person described in and who executed the foregoing instrument and acknowledged that he executed the same as his free act and deed, for the purposes therein set forth. _______________________________________ (Notary Public) My Commission Expires ______________________________, 200___ The above AFFIDAVIT is available in Microsoft Word Click here to Contact Donna.
These Google searches are mostly the college and school exemptions. There are always new forms coming online. Keep a regular check on these to look for newly added forms. Some are for daycare too. The links are the actual keywords that are used. TB Testing Alternatives... TB can be detected by biofeedback machines that are hooked up to a computer, such as the QXCI, Best BioMeridian MSAS (Meridian Stress Assessment) or Electro Dermal Screening, Quantum Life System, and the F-Scan. You will need to ask specifically for a pathogen scan, especially TB. You will also need to request a printout with the results. Here are some of the practitioners for Wyoming Wyoming BEST BioMeridian Practitioners: PREVENTIVE HEALTH RESOURCES Center for MERIDIAN STRESS ASSESSMENT Teresa Griffin, N.D., C.N.C. Health Consultant 2300 Mulberry Lane Casper, WY 82604 (307) 234-2044 http://www.phr.net info@phr.net Meridian Stress Assessment has been described as a method of "conducting an interview with the human body." It is also very similar to biofeedback. We believe Meridian Stress Assessment is the “Health Care of the 21st Century”. New clients receive an initial Meridian Stress Assessment/Bio-feedback testing evaluation including organ-gland-system screening and tests for nutrient deficiencies, food environmental sensitivities, toxicity, and various other health analyses. An individualized Nutritional Health Program is created based on these test results. Please call contact below to find additional BioMeridian practitioners in your area or closeby. Oksana Gorodetsky Marketing/Administrative Coordinator BioMeridian International 12411 South 265 West, Suite F Draper, UT 84020 T 801-501-7517 F 801-501-7518 Toll Free 888-224-2337 ogorodetsky@biomeridian.com Wyoming QXCI Practitioners: http://www.theqxci.com/practitioners.php For information on purchase or lease of the new Quantum Life BioFeedback L.I.F.E. System, please email Donna at the Exemptions Contact Page and leave your name, mailing address, phone number and email. If you're inquiring for another interested individual or practitioner, please leave their information. The company will then send information and contact the interested parties. Or you may call 1-888-249-1421. Wyoming Vaccination Liberation Home page - http://www.vaclib.org/chapter/wyhome.htm
Susan Pearce P.O. Box 615 Buffalo, WY 82834 307-655-2574 spearce@vcn.com Jacque Jones
Interesting Wyoming court cases:
A Wyoming court case in which the religious exemption was confirmed. ![]() |
Vaccination Liberation - Idaho Chapter
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