Refusal to Vaccinate Form

About this template

Document guardian refusals to vaccinate their children with Jotform’s Refusal to Vaccinate Form template. Instead of printing out paper copies and waiting for physical signatures, Jotform Sign allows you to go paperless and get your forms filled out quickly and efficiently. Simply customize to your liking, send out, and collect the signatures you need from parents or guardians. You’ll receive a notification and a finalized version of the document once each signature has been collected.

Need to make changes to this Refusal to Vaccinate Form template? Use our intuitive drag-and-drop form builder to add images, change fonts and colors, add more signature fields, and more. Once your Refusal to Vaccine Form is filled out and completed, you can instantly download it for your records or share it with other involved parties. Create a signature form that works best for your office with Jotform Sign.

Related templates

Acupuncture Medical Consent Template

Create a medical consent form for your acupuncture practice. Drag and drop to customize. Works on all mobile, tablet, and desktop devices. Share and embed.

Release of Medical Information Template

Build a release of medicational information form in seconds. Works on any device. Android and iOS compatible. Converts to a PDF. No coding knowledge required.

Pet Therapy Consent Form

Collect pet therapy consent forms. Easy online e-sign process. Works on all devices. Drag and drop to customize. Electronic signatures.

Release of Information Template

The Release of Information Template is a document that authorizes the disclosure of official or medical records to specific individuals or organizations

Pregnancy Verification Template

Verify the pregnancies of your clinic’s patients easily. Drag and drop to customize your form. Send out copies. Works on desktop, tablet, and mobile devices.

Medical Power of Attorney Form

Create a medical power of attorney form in seconds. Easy to share and embed. Drag and drop to customize. Fill out and sign on any device. No coding required.

These templates are suggested forms only. If you're using a form as a contract, or to gather personal (or personal health) info, or for some other purpose with legal implications, we recommend that you do your homework to ensure you are complying with applicable laws and that you consult an attorney before relying on any particular form.