Updated May 5, 2022
Students and staff who participate in clinical activities at NUNM are required to be fully vaccinated for COVID-19 or show proof of a negative PCR test within 48 hours of being on campus.
Individuals can apply for medical or religious exemptions to the COVID-19 vaccination by filling out this form. If you have any questions while filling out the form, please refer to the FAQ below.
For any additional questions, email email@example.com, and we will direct your question to the appropriate individual.
Frequently Asked Questions (FAQ)
A medical exemption must be “corroborated by a document signed by a medical provider, who is not the individual seeking the exception, on a form prescribed by the Oregon Health Authority, certifying that the individual has a physical or mental impairment that limits the individual’s ability to receive a COVID-19 vaccination based on a specified medical diagnosis, and that specifies whether the impairment is temporary in nature or permanent.”
- Medical exemptions will only be accepted from providers whose license and scope of practice includes immunizations (ND, MD, DO, NP, and PA).
- NUNM will follow CDC approved exemption criteria: Interim Clinical Considerations for Use of COVID-19 Vaccines | CDC . Please note the contraindications for vaccination are found near the bottom of this webpage.
- Outside of CDC criteria above, exemptions will be considered on a case-by-case basis. Please note, the CDC considers the following groups to be high risk for COVID: People with Certain Medical Conditions | CDC . Exemptions for these groups would be uncommon and must be accompanied by a note from a specialty physician (i.e., an oncologist, who notes that the patient is undergoing chemotherapy and advises against vaccination during a specific timeframe).
A religious exemption must be corroborated by a document, on a form prescribed by the Oregon Health Authority, signed by the individual stating that the individual is requesting an exception from the COVID-19 vaccination requirement on the basis of a sincerely held religious belief and including a statement describing the way in which the vaccination requirement conflicts with the religious observance, practice, or belief of the individual.
- NUNM is committed to providing a safe, inclusive, and supportive experience for all and recognizes true and genuine observance of faith as it pertains to the practice of immunization.
- Social, political, or economic philosophies are excluded.
- A religious belief should be part of a “comprehensive” belief system versus being an isolated teaching.
- Religious exemptions must be requested annually. If approved, the exemption will remain in effect for the duration of the current academic year.
- Supporting documentation is not required but may be submitted. Common examples include:
- Letter from clergy or religious leader.
- Documentation supporting no prior vaccinations in adulthood.
- A personal statement including any supportive information pertaining to the ways in which the religious belief prohibits the use of the COVID-19 vaccines.
Please email firstname.lastname@example.org and we will direct your question to the appropriate individual.