HOW TO APPLY FOR A MEDICAL OR RELIGIOUS EXEMPTION

You may apply for a medical or religious exemption from vaccination. However, some medical and safety-sensitive positions require vaccination and are not eligible for an exemption. 

• Team members who obtain approval for an immunization exemption will be required to wear a surgical mask and other identified infection prevention practices. Team members must be formally approved for exemption by the exemption deadline date.
• Of note: To assess the request appropriately, team members must understand that they may be asked to submit a new application for religious/medical exemption in the future. An approved exemption does not automatically mean your exemption will be approved permanently.

• Step 1: Access the Exemption Form:
  • Flu Medical Exemption
  • Flu Religious Exemption
  • Other Medical Exemption
  • Other Religious Exemption
• Step 2: Complete the Form: The requestor will complete the form, include a written rationale for their exemption request, and submit the form to the EOH 2025-2026 Flu Campaign Smartsheet. Please note the medical request will require a practitioner to complete a section of the exemption form.
• Step 3: Form Review by Oversight Committee: The oversight committee will review all exemption requests and make a determination. The committee considers both medical and religious exemption requests. All medical exemptions are based on CDC/ACIP contraindications and are reviewed by the committee.
• Step 4: Notification of Decision: Team members seeking an Exemption Request shall be provided with a written response to such request. All team members granted exemptions will be expected to follow all infection control protocols listed in the confirmation email.

• For more information on this process, please advise team members to contact the EOH team at UVACHEOH@uvahealth.org. Please note that team members may be asked to submit a new application for religious and medical exemptions as science and regulations change. An approved exemption does not guarantee permanent exemption.