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Coronavirus
(COVID-19)

Information Center

Medical Information Request & Verification Form

Last Updated: Aug. 17, 2021 at 6:43 am

For faculty and staff who are requesting a medical exemption from the Lehigh COVID vaccination requirement, please download this "Medical Information Request Verification Form" (opens new window) and ask your medical provider to complete it and return using the instructions provided on the form.

Once you complete the Medical Information Request Form above, go to this link (opens new window) and complete the Docusign form, where you will be asked to upload this document as an attachment.  If you submit a request for a medical exemption without uploading this accompanying medical documentation, you will not be in compliance until completing both steps.