Immunization EXEMPTION Form - Governors State University - govst 2025

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You must upload your immunization documents to the patient portal. Please visit for more information, including instructions with screenshots. Please note: we do not accept immunization documents submitted via email, fax, mail, in person or via patient portal message.
Please upload completed forms and enter immunization dates at . Please read ALL instructions below. Your records MUST meet these criteria to satisfy the requirements. GT ID#: Birth Date: Cell Phone #:
If you are having difficulty submitting your immunization documents or requesting a copy, please contact our Immunizations Team at immunizations@gsu.edu or by sending a message on the patient portal.
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