- Personal belief exemptions will not be accepted.
- Medical exemption requests must be completed by a board certified, licensed physician (MD, DO), Physician Assistant (PA), or Nurse Practitioner (NP) using the approved Medical Exemption Request form.
- Only the approved Medical Exemption Request Form will be accepted.
- Print this Medical Exemption Request Form - PDF and bring it to your provider to complete. Only this approved Medical Exemption Request form will be accepted.
- For COVID-19 and COVID-19 booster exemptions, please attest to your medical exemption via the COVID-19 Student Vaccine Certification form.