This form should only be used by El Camino College students to request a Medical Exemption to the COVID-19 vaccination required by the El Camino College Board of Trustees as stated in Superintendent/President Brenda Thames, Ph.D.'s message. This decision was based on (a) Medical Exemption due to a Contraindication or Precaution to COVID-19 vaccination recognized by the U.S. Centers for Disease Control and Prevention (CDC) or by the vaccines' manufacturers; (b) Medical Exemption due to COVID-19 diagnosis or treatment with the last 90 days; or (c) Disability.
STOP: Before you begin please have the "Health Care Provider Certification Form" form completed and signed by your Health Care Provider.