to fill in the reason. [8] Texas In Texas, parents who want a philosophical  exemption must sign an Affidavit Request for Exemption from Immunization for Reasons of Conscience. The form can be mailed, faxed, hand delivered, or filled in online. [9] ACT NOW As you can see, the laws about exemptions vary from state to state. Some are as simple as checking a box and signing a form. Others require that you write a statement about your belief. Still others require that you or your doctor submit a request in order to receive the exemption form. Whichever exemption you opt for, it's vital that you learn what the laws are in your state and act quickly to do what you need to do before your child starts school. Some states are trying to take away religious and philosophical exemptions, and it's becoming more and more difficult to get a medical exemption. The sooner you act, the better. If your pediatrician won't listen to your concerns and threatens to discharge your child as a patient if you refuse to vaccinate, find another doctor. You can ask friends for suggestions or Google "vaccine-friendly doctors" or "no-vax doctors" for a doctor who is open to an alternate schedule -- or no schedule, if that's your choice. Sometimes doctors in a family practice will accept unvaccinated children. Another option is to find a younger doctor. In a recent poll, about 15 percent of young doctors said they're "starting to adopt a more individualized approach