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Immunization EXEMPTION Form govst immunizations 2026

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  1. Click ‘Get Form’ to open the Immunization EXEMPTION Form in the editor.
  2. Begin by entering your name in the designated fields for last, first, and middle names.
  3. Input your date of birth in the format mm/dd/yyyy to ensure accurate processing.
  4. Provide your GSU Student ID number to link your request with your student profile.
  5. Fill in your phone number for any follow-up communications regarding your exemption request.
  6. Enter the date of your request to document when you are submitting this form.
  7. Select the reason for your exemption by checking the appropriate box based on your enrollment status.
  8. Ensure that you have your advisor sign and date the form, as this is required for submission each semester.
  9. Finally, sign and date the form yourself before submitting it either in person or via fax/mail as indicated.

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Related links

Immunization - Governors State University

Students born before 1957 are not exempt from the diphtheria, tetanus, pertussis requirement and must provide proof of a current Td/Tdap vaccination (doseRead more

Learn more
9/23/15 1 TITLE 77

A student may be exempted from one or more of the specific immunization requirements specified in this. Female students may be granted temporary exemption from

Learn more
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