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Vaccine Exemption Form - Religious
This form is to be used by students requesting an exemption to the University's Covid-19 vaccine requirement.

*Note: Students who are requesting a Medical Exemption for the COVID-19 vaccine will need to submit a letter or document from their doctor indicating why they can't receive the vaccine. You can then submit that document back to Bishop Wellness Center. You can either email the document to, mail or fax (503-375-5420).
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Email *
Legal Name (Last Name, First Name) *
Willamette ID # (if issued)
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