Missouri's immunization laws (sections 167.181 and 210.003 RSMo) let a student be exempted from required vaccines on signed certification by a licensed MD or DO, or their designee. Imm.P.12 records that the immunization would endanger the child's life or health or is otherwise contraindicated, or that the child has documented disease or lab evidence of immunity.
A licensed doctor of medicine or doctor of osteopathy, or the physician's designee, checks the reason and the exempted vaccines, then prints a name and signs.
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Medical Immunization Exemption
Medical Immunization Exemption (Spanish)
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The form is labeled for licensed doctors of medicine or osteopathy only, and the certification line reads physician or physician's designee. DHSS's cover page says a student is exempted upon signed certification by a licensed MD, DO or his or her designee.
Yes, but it is separate and completed by the parent: Imm.P.11A, Religious Immunization Exemption. Missouri also allows a parent conscientious exemption for child care only. Imm.P.12 covers medical reasons and documented immunity, and Imm.P.14 records immunizations in progress.