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Accommodation Request Form Medical Exemption or Pregnancy Deferral COVID-19 Vaccination Laguna College of Art + Design is committed to complying with all laws that protect qualified individuals with
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How to fill out request for medical exemption

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How to fill out request for medical exemption

01
Obtain a medical certificate or note from your healthcare provider stating the reason for the medical exemption.
02
Fill out the request for medical exemption form provided by the organization or institution requiring it.
03
Include all necessary personal information (name, contact information, etc.) on the form.
04
Attach the medical certificate or note to the form as supporting documentation.
05
Submit the completed form and documentation to the appropriate person or department for review and approval.

Who needs request for medical exemption?

01
Individuals who have a medical condition that prevents them from receiving certain vaccinations or medical treatments.
02
Those who require accommodations or exemptions in order to participate in certain activities or programs due to their medical condition.
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Request for medical exemption is a formal application or document submitted by an individual to request exemption from certain medical requirements or obligations.
Individuals who have medical conditions or circumstances that warrant an exemption from specific medical requirements are required to file a request for medical exemption.
To fill out a request for medical exemption, individuals must provide relevant medical information, details of their condition, supporting documents from healthcare providers, and any additional information requested by the relevant authorities.
The purpose of request for medical exemption is to provide individuals with the opportunity to request exemption from certain medical requirements or obligations due to medical conditions or circumstances.
Information that must be reported on request for medical exemption includes details of the medical condition, supporting documents from healthcare providers, any relevant medical history, and any additional information requested by the relevant authorities.
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