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
636-949-1803
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.