Medical Exemption Request Form: COVID-19 Immunization

As of Feb. 23, 2022: Given the deferral of Columbia's booster mandate deadline, exemption review process for boosters has been paused, and will be reactivated four weeks prior to any new mandate deadline.

The committee will not be making a determination on requests received in the interim.

Individuals who wish to continue with the exemption process at the time a new deadline is determined will be able to submit the appropriate documentation again.


View step-by-step instructions.

Download the form: