Re-Appointment Document Library

Exemption forms: Influenza Vaccination

MEDICAL Exemption for Influenza Vaccination
If you need to request Medical Exemption from the Influenza Vaccination please complete this form and email/fax to Medical Staff Services.

RELIGIOUS Exemption for Influenza Vaccination 
If you need to request Religious Exemption from the Influenza Vaccination please complete this form and email/fax to Medical Staff Services.