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2022 COVID-19 Vaccine Medical Exemption Form v9 3.14.22 Printed Name ___ GVSU Email ___ G# ___ Please have the health care provider (MD, DO, NP, PA) with knowledge of your medical history and who

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What is covid-19 vaccine medical exemption?

Covid-19 vaccine medical exemption is a document that allows individuals to be exempt from receiving the Covid-19 vaccine due to medical reasons.

Who is required to file covid-19 vaccine medical exemption?

Individuals who have medical reasons that prevent them from receiving the Covid-19 vaccine are required to file for a medical exemption.

How to fill out covid-19 vaccine medical exemption?

To fill out a covid-19 vaccine medical exemption, individuals must provide medical documentation from a licensed healthcare provider detailing the reasons why they cannot receive the vaccine.

What is the purpose of covid-19 vaccine medical exemption?

The purpose of covid-19 vaccine medical exemption is to provide individuals with a valid medical reason the opportunity to be exempt from receiving the Covid-19 vaccine.

What information must be reported on covid-19 vaccine medical exemption?

The covid-19 vaccine medical exemption must include the individual's name, medical condition preventing vaccination, healthcare provider's information, and signature.

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