I. AGE EXEMPTION -- Students born prior to January 1, 1957, are exempt.
II. MEDICAL Contraindications -- The student must present a written, signed and dated statement from a physician stating the specific vaccine(s) contraindicated and duration or medical condition that contraindicates the vaccine(s). Medical exemption forms are available from Health Service if needed or you can download and print it from download forms section.
III. PREGNANCY OR SUSPECTED PREGNANCY -- The student must present a signed and dated statement from a physician stating such. The Estimated Date of Delivery must be indicated.
IV. RELIGIOUS EXEMPTION -- The student must present a signed and dated Religious Exemption form (if the student is under the age of 18, their parent/guardian may sign on their behalf). Attached to the form should be a statement from their church/religious organization, signed by its pastor or clergy-person, and printed on letterhead from the religious organization. Religious Exemption forms are available from Health Service if needed or you can download and print it from download forms section.
NOTE: Anyone with a vaccine exemption may be excluded from SIUE in the event of a disease outbreak in accordance with public health recommendations.