Health and Immunization Information

  • All students in Spring Lake Park Schools must comply with Minnesota Immunization Laws. All immunizations need to be up to date prior to the start of the school year. An immunization form with the schedule of vaccines is available online or from the health office. Students will be excluded from school as of October 31 if proof of immunizations or exemptions are not on file with the school.

    Please find the exemptions to school immunization laws below:

    Medical Exemption

    No student is required to receive an immunization if they have a medical contraindication, history of disease, or laboratory evidence of immunity. For a student to receive a medical exemption, a physician, nurse practitioner, or physician assistant must sign this statement:

    I certify the immunization(s) listed below are contraindicated for medical reasons, laboratory evidence of immunity, or that adequate immunity exists due to
    a history of disease that was laboratory confirmed (for varicella disease see * below). List exempted immunization(s):

    Signature of physician/nurse practitioner/physician assistant _______________ Date

    *History of varicella disease only. In the case of varicella disease, it was medically diagnosed or adequately described to me by the parent to indicate past varicella infection in ___________ (year)

    Signature of physician/nurse practitioner/physician assistant (If disease occurred before September 2010, a parent can sign.)


    Conscientious Exemption

    No student is required to have an immunization that is contrary to the conscientiously held beliefs of his/ her parent or guardian. However, not following vaccine recommendations may endanger the health or life of the student or others they come in contact with. In a disease outbreak schools may exclude children who are not vaccinated in order to protect them and others. To receive an exemption to vaccination, a parent or legal guardian must complete and sign the following statement and have it notarized:

    I certify by notarization that it is contrary to my conscientiously held beliefs for my child to receive the following vaccine(s):

    Signature of parent or legal guardian _______________ Date

    Subscribed and sworn to before me this:
    _______ day of ______________________ 20______

    Signature of notary



    Please refer to Anoka County for low-cost immunization clinic dates and locations.

    Student Immunization form 

    District immunization policy 530 

    Minnesota Statute 121A.15.

    Are your kids ready?