Request Vaccination Exemption Forms

Covid-19 Vaccination Exemption

Charles R. Drew University of Medicine and Science policy requires that all students receive a COVID-19 vaccination. A religious or medical exemption may be granted upon request. Charles R. Drew University of Medicine and Science is committed to providing a safe, inclusive, and supportive experience for all.

Individuals with an approved exemption may be required to comply with COVID-19 testing and other preventive requirements as specified in the exemption approval and as may be updated by later notification and/or posting of requirements on the CDU website. In the event of an outbreak on or near campus, individuals holding exemptions may be excluded from all campus facilities and activities, for their protection, until the outbreak is declared to be over.

The Office of Student Health & Wellness will carefully review all requests, though approval is not guaranteed. After your request has been reviewed and processed, you will be notified, in writing, if an exemption has been granted or denied. The decisions of the committee are final and not subject to appeal. Individuals are permitted to reapply if new documentation and information should become available.

In order to submit a request for Religious Exemption please:

• Read the CDC COVID-19 Vaccine Information
• Complete the Personal Statement Form
• Have your religious leader complete the Religious Organization Statement Form
• Submit this form with completed supplemental documents attached

In order to submit a request for Medical Exemption please:

• Read the CDC COVID-19 Vaccine Information
• Have your Licensed Healthcare Provider complete the provider section of this form
• Submit this form with completed supplemental documents attached

Incomplete submissions will not be reviewed. Be sure all forms and documentation are submitted at one time.

Request Exemptions Covid-19 Vaccination Forms

Covid-19 Vaccination Exemption Request Forms

Click here to submit the Covid-19 Vaccination Exemption Request Form

Supplemental Forms:

Request for Religious Exemption from Covid-19 Vaccine: Personal Statement Form

Request for Religious Exemption from Covid-19 Vaccine: Religious Organization Statement Form

Request for Medical Exemption from Covid-19 Vaccine: Medical Certification Form