The rulings have in general upheld the right of states to mandate vaccination despite parents’ religious beliefs. Several legal cases involving the constitutionality of religious exemptions to vaccination have been tried. They may, as Iowa does, ask a parent to attest that "immunization conflicts with a genuine and sincere religious belief, and that the belief is in fact religious, and not based merely on philosophical, scientific, moral, personal, or medical opposition to immunizations." Other states simply require a parent to sign a form stating they have religious objections to vaccination. Some states statutes indicate that to receive a religious exemption, a family must belong to a religious group with bona fide objections to vaccination.
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