Medical Exemption
Medical exemptions for required immunizations will only be granted upon submission of either a Medical Exemption Statement (DHHS 3987) or Physicians Request for Medical Exemption (DHHS 3995). Both of these exemptions require a signature by a Physician in North Carolina.
These forms can be found on the Immunize NC website.
The Medical Exemption form(s) must be submitted with the North Carolina Required Immunization and Health History Form.
Religious Exemption
Religious exemptions for required immunizations will only be granted upon submission of the "Request for Exemption from Immunization Requirement: Religious Belief" Form (see attached document).
Please submit forms to your patient portal. For questions or concerns, please call Student Health Services at, 910.521.6219.