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CLARK COLLEGE _ _ EST. 19 33 Student Services COVID-19 Vaccine Exemption Medical Exemption Form This form incorporates the requirements for Proclamation 2012.5: Higher Education, which removed the

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How to fill out covid-19 vaccine exemption-medical accommodation

01

Obtain a medical opinion or note from a healthcare provider specifying the medical condition that requires exemption from the covid-19 vaccine.

02

Fill out any required forms provided by your employer or other relevant organization, including personal information and medical documentation.

03

Submit the completed forms and medical documentation to the appropriate department or individual for review and approval.

Who needs covid-19 vaccine exemption-medical accommodation?

01

Individuals with medical conditions that contraindicate receiving the covid-19 vaccine may need an exemption or medical accommodation.

02

This could include individuals with severe allergies to vaccine components, a history of adverse reactions to vaccines, or certain underlying health conditions.

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What is covid-19 vaccine exemption-medical accommodation?

Covid-19 vaccine exemption-medical accommodation is a request made by individuals who are unable to receive the Covid-19 vaccine for medical reasons.

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

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

How to fill out covid-19 vaccine exemption-medical accommodation?

To fill out the covid-19 vaccine exemption-medical accommodation, individuals need to provide medical documentation from a healthcare provider supporting their inability to receive the vaccine.

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

The purpose of the covid-19 vaccine exemption-medical accommodation is to provide an alternative option for individuals who are medically unable to receive the Covid-19 vaccine.

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

The covid-19 vaccine exemption-medical accommodation form must include medical documentation supporting the individual's inability to receive the vaccine, as well as their personal information and contact details.

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