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Exemption Request Information for Students

Folsom Lake College has a process in place for any student to request a medical exemption or religious exemption to the vaccination requirement.

Exemptions to the vaccination requirement are very limited and only available for certain medical conditions and sincerely held religious beliefs.

Request a Medical Exemption

To request a temporary or permanent medical exemption, a student must complete all of the following steps:

Select Vaccination Status in eServices

Log in to eServices and select "I am requesting a medical exemption" in the COVID-19 Vaccination Status survey.

Note: If you previously selected "I am interested in learning more about allowable exemptions," then you must change your selection and resubmit the survey.

Screenshot of eServices Vaccination page with radio button check next to option to request medical exemption

Complete Medical Exemption Form

Complete the Student Medical Exemption Form, which includes two sections:

  1. The student fills out section 1.
  2. A licensed physician fills out section 2.

Get Written Statement from Medical Provider

Provide a written statement from a medical provider exempting you due to a disability or serious medical condition. The statement must:

  • Be submitted on the doctor's office letterhead
  • Contain the doctor's printed name
  • Contain the doctor's license number
  • Contain the doctor's signature
  • Contain the date the statement is issued
Graphic of a checklist on a clipboard with five items

Email Exemption Documents

Email both documents from steps 2 and 3 to the appropriate email address for your college. If you attend multiple Los Rios colleges, then you only need to email your documents to your primary college.

College Email
American River College StudentMedicalExemption@arc.losrios.edu
Cosumnes River College StudentMedicalExemption@crc.losrios.edu
Folsom Lake College StudentMedicalExemption@flc.losrios.edu
Sacramento City College StudentMedicalExemption@scc.losrios.edu

You will be notified of the status of your exemption request after it has been evaluated and approved or denied.

Request a Religious Exemption

To request an exemption based on sincerely held religious beliefs, a student must complete all of the following steps:

Select Vaccination Status in eServices

Log in to eServices and select "I am requesting a religious exemption" in the COVID-19 Vaccination Status survey.

Note: If you previously selected "I am interested in learning more about allowable exemptions," then you must change your selection and resubmit the survey.

Screenshot of eServices Vaccination page with radio button check next to option to request religious exemption

Complete Religious Exemption Form

Complete the Religious Exemption Form.

Email Exemption Form

Email the completed Religious Exemption Form to StudentReligiousExemption@losrios.edu.

You will be notified of the status of your exemption request after it has been evaluated and approved or denied.