COVID-19 Vaccine Medical Exemption Request

Any individual in the State of Alabama who is subject to a requirement that he or she receive one or more COVID-19 vaccinations as a condition of employment may claim an exemption for medical reasons, because the vaccination conflicts with sincerely held religious beliefs, or both.

You may request a medical exemption from the COVID-19 vaccine requirements for one or more of the following reasons:

  • My health care provider has recommended to me that I refuse the COVID-19 vaccination based on my current health conditions and medications.
  • I have previously suffered a severe allergic reaction (e.g., anaphylaxis) related to vaccinations in the past.
  • I have previously suffered a severe allergic reaction related to receiving polyethylene glycol or products containing polyethylene glycol.
  • I have previously suffered a severe allergic reaction related to receiving polysorbate or products containing polysorbate.
  • I have received monoclonal antibodies or convalescent plasma as part of a COVID-19 treatment in the past 90 days.
  • I have a bleeding disorder or am taking a blood thinner.
  • I am severely immunocompromised such that receiving the COVID-19 vaccination creates a risk to my health.
  • I have been diagnosed with COVID-19 in the past 12 months.

Instructions

Medical exemptions require a licensed health care provider's signature

Step 1:

Download and print the exemption request forms
COVID-19 Vaccination Exemption Request Form

Step 2:

Take the forms to your health care provider to complete and sign.

Step 3:

Return the completed forms. Options are:


Email

MedicalExemption@eamc.org


Opelika Campus

The Employee Health office on the first floor between the Terrace Café and Administration


Lanier Campus

The Employee Health office on the first floor

Your exemption will be reviewed and considered for approval once the appropriate documention is received. You will be contacted if additional information is needed.

For questions or further guidance, please call the Employee Health Office at (334) 528-1814.
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