Immunization Exemptions

Immunizations protect against several dangerous, and sometimes deadly, diseases.  Unimmunized individuals are at a greater risk for exposure to vaccine-preventable diseases and can spread these diseases to those that are too young to be fully immunized or to others who cannot be protected for medical reasons. Because of this, the State of Missouri requires children to be immunized with specific vaccinations before entering or continuing education in all public and some private schools.

To protect others within the community, unimmunized individuals could be excluded from school or other activities during outbreaks of vaccine-preventable diseases. This exposure can cause hardship for a child and their parents or guardians.

Requesting an Immunization Exemption in St. Charles County

Families who reside in St. Charles County can obtain a Non-Medical Exemption for Immunizations for their child/children by completing the Request Form and Questionnaire. Individuals living within other Missouri counties must speak with the Local Public Health Agency in the county where the child resides.

A separate request form must be completed for each individual child. For the request application to be mailed, information within Section 1 and a parent/guardian signature must be completed on the Request Form and Questionnaire prior to submission. Once completed, print and submit the form to the St. Charles County Department of Public Health by one of the following methods:

By Mail

St. Charles County Department of Public Health
Immunization Program
1650 Boone's Lick Road
St. Charles, MO 63301

By Fax


By In-person Submission

Bring to the Department of Public Health Immunization Clinic, located on the Lower Level at:
1650 Boone's Lick Road
St. Charles, MO 63301

Upon successful completion of the request process, Department of Public Health staff will process the request and mail the individual exemption card to the family within five business days.