Appointments become available approximately one week in advance. New Patient Appointment,must email first.
Returning Patient

Medical Exemptions for California Vaccinations

Appointment Details: 40 minute appointment for up to 2 children in same family, 60 minute appointment for 3 or more children in the same family. $120 for each child.

Documentation: Bring records/documentation with you, or email to me ahead of time. No exemptions without documentation. Documentation may include official medical records and summaries, death certificates, emails or letters from family members about their diseases, pictures of reactions, pictures of specific medication with family member's name on it (i.e. epi-pen or Lupus specific medication). All documentation is required at the time of your visit. If you are not sure if what you have is sufficient, please email me before making an appointment.

Medical Requirements for Exemption: Exemption is not guaranteed. You will need a minimum of 4 people in the family with qualifying diseases/conditions to qualify. Exception is a severe anaphylactic reaction to a vaccine in the child or immediate relative (parent, sibling). Also, if a disease in the child himself/herself is severe, I may make an exception.

Qualifying Diseases/Conditions:
This list may seem restrictive but it is defensible by Western Medicine standards.

Hyper immune conditions
Including, but not limited to:
Allergies to food, bee stings, medicines that include hives/swelling/wheezing (hay fever does not count)

Autoimmune Conditions
Including, but not limited to:
Ulcerative Colitis
Mixed connective tissue
Hashimoto or Graves thyroid (not regular low thyroid)
Antiphospholipid antibody
Multiple Sclerosis
Rheumatoid arthritis (not old age or overuse arthritis)
Type 1 diabetes (child type)
Eosinophilic esophagitis

Documented autoimmune only - not suspected autoimmune such as fibromyalgia, chronic fatigue, Lyme or endometriosis. Those will not qualify.

Immune Cancers
Including, but not limited to:
Multiple myeloma

Immune deficiencies
Including, but not limited to:

Documented diseases only. Not "getting sick a lot".

Genetic conditions associated with worse outcomes
Studies are still pending, but include MTHFR, Some HLA subtypes.

Vaccine reactions
Vaccine reactions must be related to the vaccine within about a week, and must be immediate and not caused by anything else. These reactions include but are not limited to:
Leg swelling causing hospitalization
Difficulty breathing
Encephalitis, including high-pitched cry and developmental regression
Severe lethargy
Fevers over 103

Bad reactions do NOT include fevers under 103, sore leg, cranky, getting sick a lot after, getting asthma after, having allergies after vaccination.

Non-Qualifying Diseases/Conditions
Examples of Diseases/Conditions that are not sufficient to meet medical exemption requirements include but are not limited to:
Other cancers
Behavior issues
Chronic fatigue

Neurologic issues and developmental delay may qualify for temporary exemption if the condition is worsening or still being diagnosed and defined.