Student Vaccine Medical Exemption Request


Medical Exemption requests will be accepted anytime during the year, but to help ensure that your request is approved before Nov. 15th, please turn in your medical exemption form no later than 3:00 pm on Wednesday, Nov. 10, 2021.

Instructions for Medical Exemption for COVID Vaccination Requirement

  1. Obtain a copy of the Medical Exemption Form
  2. Fill in your information at the top of the form.
  3. Give the form to your medical provider to complete.
  4. Turn in the completed form to Health Services via one of these options:
  5. You will be notified within 3-5 business days via student email when your request is approved.

If you attend classes at more than one campus, you only need to submit this form once.  When approved, the exemption will apply to all SCCCD Campuses - Fresno City College, Reedley College, Clovis Community College, Madera Community College.

Contact Health Services if you have any questions:  559.442.8268 or