Request for Medical Exemption related to COVID-19 Vaccine

Who can use it?

Form is no longer active and should not be used. All Requested should be submitted via the

What is it?

Where to get it?


How to use it?


What are the charges, options & fees?

There is no charge for this service



Request Service


Service ID: 275
Mon 10/11/21 5:16 PM
Wed 2/2/22 6:12 PM
Service Type
The IT Strategic Plan identified three types of Services: Core, Consortium and Specialized