NHC partners can request exemption from the COVID-19 vaccine requirement per federal law if you have a medical condition or sincerely held religious belief. To request exemption, please complete the following steps for your requested exemption.
Medical Condition
Step 1: Submit the COVID-19 Vaccine Declination Form and Medical Exemption Attestation here.
Step 2: Your medical provider must complete the Medical Declaration for COVID-19 Vaccine Exemption below. Please submit to your supervisor for review.
807 – HR Policy Form 2 – Medical Declaration for COVID-19 Vaccine Exemption
Religious Exemption
Submit the COVID -19 Vaccine Declination Form, Request for Religious Exemption Related to COVID-19 Vaccine, and Religious Exemption Attestation here.