Our healthcare partners strongly encourage all students to become fully vaccinated against COVID 19. If you are unable to do so due to a religious or medical reason, you may request an exemption. Exemption forms should be returned to email@example.com. We will send student forms to the appropriate healthcare facility. The exemption forms below are for our primary hospital sites - other forms may be needed for additional sites and will be given to students during class as needed.
**These forms may change and there may be other forms that will be requested from our partners.
For students taking Health Occupations - complete the form for the primary site where you are taking classes. Return your forms to firstname.lastname@example.org by July 22, 2022. We will only notify you if you are denied for any reason.
Agreement for sharing health-related documents - All students need to sign and parents sign