Request for Medical Exemption From COVID-19 Vaccination

Request for Medical Exemption From COVID-19 Vaccination

Before you submit this form you MUST have your physician fill out the medical exemption form and have it available to attach to this form: Medical Exemption Form

If you currently have an approved COVID vaccination exemption on file, approved 1/1/2023 through Today's Date, you will not need to renew your request at this time.