COVID-19 Vaccination Self-Certification Form and Verification Process

The below message was sent to 菠菜网lol正规平台 students by the 菠菜网lol正规平台 Student Wellness Center on 2021年7月9日.

亲爱的同学们, 

In accordance with the pending 基社盟的政策, make sure you are fully vaccinated against COVID-19 before the start of the semester. The COVID-19 vaccine is safe, effective, and the best way you can protect yourself and others. 

下一个步骤

  1. Report your vaccination status using the COVID-19 Vaccine Self-Certification form. You will be asked to certify your current vaccination status and indicate if you qualify for a religious or medical exemption. Students requesting a religious exemption can upload their supporting documentation as an attachment 在 COVID-19 Vaccine Self-Certification form. Prior to submitting a religious exemption form, please convert 将PDF转换为 .BMP, .JPG, .JPEG, .GIF或 .PNG type attachment. All other attachment types will not be accepted.
  2. Submit verification 在 Student Health Center Patient Portal. You will need to submit proof of your COVID-19 vaccination record and/or request for a medical exemption. Proof can include a scanned/photo copy of your vaccine card or a record containing all of the following: full name, date of birth, manufacturer/brand of vaccine, vaccine lot number, administration 日期和地点. Please ensure all information is visible and legible in English to prevent delays in verification.

Students must complete both of these steps by August 6, 2021 to meet full vaccination 需求. For students who need to get vaccinated, the Santa Clara County Mobile Vaccine Clinic is hosting COVID-19 vaccine clinics on July 14 and August 4 for students, staff, and faculty at the Student Wellness Center. The Pfizer (2-dose) and 约翰逊 & 约翰逊 (1-dose) vaccine will be available at these clinics. Registration is encouraged but walk-ins are welcome. Additional vaccine sites in California can be found on myturn.ca.政府. For international students who are currently outside of the United States, 菠菜网lol正规平台 将接受所有 World Health Organization (WHO) Emergency Use listed vaccines and other vaccines that have been approved by your country, regardless of their WHO 分类. 

For the latest vaccination updates, 菠菜网lol正规平台 has launched the Vaccination page 在 Health Advisories website. For submission instructions and exemption forms, please visit the COVID-19 Vaccine Requirements website. Thank you for helping us ensure a safe return to campus life.

We’re here for you!

Student Wellness Center