The American Academy of Pediatrics (AAP) is one of the leading voices for maximizing vaccination, and pediatricians often base their individual views on information provided to them by the AAP. The AAP organization has publicized information to its members on how pediatricians can refuse to accept patients who don't vaccinate per the CDC schedule. Because a pediatrician's license to practice medicine is often partly based upon being in good standing with the AAP, your pediatrician can be rightly concerned about being too open towards a SmartVax approach. Despite that pressure, there are prominent pediatricians who openly discuss a smarter approach to vaccinations such as Dr. Bob Sears (author of "The Vaccine Book") and Dr. Jay Gordon (author of "Vaccinations? Assessing the Risks and Benefits").
It's important to find a pediatrician who is willing to have a smart and balanced discussion about the risks and benefits of vaccination, rather than propagating common misconceptions about vaccines (see Vaccine Misconceptions), and is willing to agree to an alternative vaccination schedule if that is what you determine is best for your child. There are some questions that can help you to ascertain whether the pediatrician is open to a SmartVax approach; if so, there are other questions you should ask to determine the policies and procedures of the pediatrician's practice. Download the file below, review the questions, and then take them with you to ask at the pediatrician's visit.
Downloadable List of Questions for the Pediatrician Visit:
Notes regarding vaccine exemption: You do not need a vaccine exemption form when you visit the pediatrician, but will need a vaccine exemption form when your child is ready to go into daycare or public school. Most states have a 'philosophical exemption' that can be signed by the parent if some or all vaccines are being delayed or avoided. Several states have a 'religious exemption', which can be used similarly to the 'philosophical exemption'. You should only involve your pediatrician if you are seeking a 'medical exemption', which would generally only be signed by the pediatrician in limited cases involving known allergies to certain components of vaccines. For more information on vaccine exemptions, go to the National Vaccine Information Center.