Vaccination
Exemption Letter For the United States Air Force
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here for printable version
Note: Below you will find an actual request and approval for an immunization
waiver (The names have been changed to protect the innocent). Just after
the approval you will find Paragraph 13 of AFJI 48-110, which is the
applicable regulation that covers the waiver.
DEPARTMENT OF THE AIR FORCE
15 August 1998
MEMORANDUM FOR 557FTS/CC
10AMS/SGP
10MDG/SG
HQ AFMOA/SGOA
IN TURN
FROM: Capt John Doe
Your Unit
Anywhere AFB. USA
SUBJECT: Permanent waiver
for immunizations
1. I request a permanent
waiver according to AFJI 48-110, paragraph 13.
2. My full name is John Doe.
My SSN is 000-00-0000. I am a Captain in the (your unit). I am a member
of the board of directors of (your church), and the counselor's statement
is attached. Also attached is a statement of my Religious beliefs, and
a counselor's statement from (your church) which I have been a member
of since January 1985.
3. I discussed the waiver
and the view point of the Air Force with Col. Jane Doe on 1 August 1998.
John Doe
Capt. USAF
Attachments:
1. Counselor's statement
2. Personal religious beliefs
3. Counselor's statement
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DEPARTMENT OF THE AIR FORCE
20 August 1998
MEMORANDUM FOR (your unit)
10AMS/SGP
10MDG/SG
HQ AFMOA/SGOA
IN TURN
FROM: HQ AFMOA/SGOO
110 Luke Avenue,Room 400
Bolling AFB, DC 20332-7050
SUBJECT: Immunization Waiver
The immunization waiver on
John Doe has been approved. Although this waiver is permanent, IAW Air
Force Joint Instruction 48-110, it may be revoked locally if necessary
to ensure the accomplishment of the military mission. Additionally,
John Doe must be counseled IAW AFJI 48-110, which requires documentation
in the health record. Please refer to this instruction for counseling
requirements. Any questions may be addressed to myself or Msgt Jane
Doe.
COURTNEY SCOTT, Col, USAF,
MC, SFS
Chief, Physical Standards,
Air Force Medical Operations Agency
Office of the Surgeon General
Attachments:
Case File
cc:
HQUSAF/111
file
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Paragraph 13 of AFJI 48-110
13. Waivers. The respective
Surgeons General and CG MPC or Commandant (G-K) grant permanent immunization
waivers for military or civilian personnel (employed by the military
or training under military sponsorship). Such waivers are granted only
in the case of legitimate religious objections to Immunization and are
revoked if necessary to ensure the accomplishment of the military mission.
Authority to grant temporary waivers is delegated as follows;
13.1. Army only. Medical authority at major commands.
13.2. Air Force only. Major command surgeons.
13.3. Navy and Marine Corps only. The Chief, Bureau of Medicine and
Surgery.
13.4. Waivers from private physicians based on personal beliefs or attitudes
are not authorized.
13.5. Forward to the appropriate; commander or surgeon waivers for religious
objections.
13.5.1. Include full name, rank, and SSN; name of recognized religious
group and the date of the applicant's affiliation; supporting certification
signed by an authorized personal religious counselor. The counselor
attests that the applicant is an active member in good standing of the
espoused religious group, adheres to tenets consistent with the espoused
religious beliefs and the religious group has a tenet or belief opposing
immunizations.
13.6. Commanders ensure counseling of the applicant is provided by a
medical officer and documented in the health record. The following Information
is included in the counseling:
13.6.1. Noncompliance with immunization requirements adversely impact
deployability and administrative actions may be taken.
13.6.2. Additional risk to health on exposure to disease against which
he/she is not protected.
13.6.3. Possibility he/she may be detained during travel across international
borders in accordance with international health regulations.
13.6.4. Possibility that if a waiver is granted the waiver can be revoked
if he/she is at imminent risk of exposure to a disease for which an
immunization is available. This is in keeping with the tenets concerning
involuntary therapeutic care when military mission accomplishment may
be compromised.
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