Creating the Extraordinary Student Experience

Vaccination Requirement

 

Vaccination Requirement - Instructions for Completion(PDF)
This document provides instructions for completing the Vaccination Requirement.
 
Vaccination Requirement - Domestic and/or Housing Students (PDF)
This form must be completed and signed by your licensed medical provider (MD, DO, PA, NP). It should then be converted into electronic format by either scanning or taking an image and then uploaded through MyBuckMD.
 
Vaccination Requirement - International and/or Housing Students (F-1/J-1 Student VISA)
This form must be completed and signed by your licensed medical provider (MD, DO, PA, NP). It should then be converted into electronic format by either scanning or taking an image and then uploaded through MyBuckMD.
 
Medical Exemption (PDF)
A medical exemption must be completed and signed by your licensed medical provider (MD, DO, PA, NP, RN).The document should then be converted into electronic format by either scanning or taking an image and then uploaded through MyBuckMD.
 
General (Non-Medical) Exemption (PDF)
A general (non-medical) exemption must be completed and notarized by a notary public. The document should then be converted into electronic format by either scanning or taking an image and then uploaded through MyBuckMD.