Covid-19 Vaccine Exemption Form
COVID 19 VACCINE MEDICAL EXEMPTION FORM Name of Student. First middle last Primary Phone.
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Individuals who wish to apply for a medical or religious exemption from the COVID-19 vaccination must complete and submit the applicable exemption request forms below at least 15 business days prior to the day of planned campus access.
Covid-19 vaccine exemption form. To request an exception to receiving the COVID-19 vaccine due to a contraindication or precaution to the COVID-19 vaccination recognized by the US. Above Oakland County Health Department. While COVID-19 vaccine mandates are on the rise so are medical and religious vaccine exemption requests.
Centers for Disease Control and Prevention CDC or by the vaccines manufacturer employees must initiate the COVID-19 medical exemption. Religious Exemption Forms Request for Religious Exemption from COVID-19 Vaccine Form. Name of ParentGuardian if under 18.
ID Date of Birth. Applying for an exemption to a COVID-19 vaccine mandate could require a person to get a doctor to sign off on their medical condition.
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