State-Required Immunizations

The State of North Carolina requires the following immunizations for all students enrolled in higher education: A list of required immunizations may be found here.  Students may apply for exemption from these state-required immunizations on grounds of permanent medical contraindication or conflicting religious beliefs. See the “ NC Immunization Branch website  for more information on medical and religious exemptions for state-required immunizations.

Note that students choosing to apply for any exemption must still complete the report of health history,  and tuberculosis screening questionnaire, described here.

Medical Exemption (State-Required Immunizations)

If a physician licensed to practice medicine certifies that a required immunization is or may be detrimental to a person’s health due to the presence of one of the contraindications adopted by the Commission for Health Services, the person is not required to receive the specified immunization as long as the contraindication persists.

Exemption forms for state-required immunizations can be found at the NC Immunization Branch website. Students should complete this exemption request and upload to their Phoenix Health Portal.

All requests for medical exemption must be submitted to and approved by the NC Department of Health and Human Services.

Religious Exemption (State-Required Immunization Requirements)

There is no form for requesting religious exemptions for state required immunizations in North Carolina. A written statement of the student’s bona fide religious beliefs and opposition to the immunization requirements must be submitted with signature and date. Please include the student’s full name and date of birth. The statement should be uploaded to the Phoenix Health Portal.

Statements of religious objection to immunization do not need to be notarized, signed by a religious leader, or prepared by an attorney. They do not need to be submitted to the state for review or approval prior to submitting to the Phoenix Health Portal.

University COVID-19 and Seasonal Flu Vaccine Requirement (2021-2022)

All students (undergraduate, law school, and other graduate students) must provide documentation of being fully vaccinated for a COVID-19 vaccine authorized by the U.S. Food and Drug Administration or the World Health Organization (for international students). This requirement pertains to all students enrolled in classes, living on campus, participating in study abroad/away, or participating in on-campus activities on any Elon campus during Fall Semester 2021.

All students (undergraduate, law school, and other graduate students)are required to receive a flu vaccine for the 2021-2022 academic year, or receive a medical/religious exemption. The deadline date to receive the flu vaccine or exemption is Friday, October 29, 2021.

The flu vaccine requirement at Elon comes at the recommendation of the CDC, and you can read more about the guidance here.

Requesting Medical and Religious Exemptions (Seasonal Flu Vaccines) 
  • The required form for requesting a medical or religious exemption from the 2021-2022 flu vaccine requirement may be found here.
  • Medical exemptions: The request must include a statement attesting that the student has been advised by their medical provider it is not safe for them to receive the flu vaccine. Documentation from the provider is not required, but the student must consult with their medical provider prior to submitting the request.
  • Religious exemptions: The request must include a brief personal statement indicating why receiving the flu vaccine is in contradiction to sincerely held religious beliefs.
  • Exemptions/waivers granted last year for the flu vaccine or this year for the COVID-19 vaccine are not automatically applied to the current year flu vaccine requirement; students with prior exemptions will need to submit a new, updated exemption request.

For questions, send an email to Associate Vice President for Student Life and Dean of Students Jana Lynn Patterson at

Students with Exemptions (State-Required and University-Required Vaccines)

If an outbreak occurs on campus the university will follow guidance by the NC Department of Health and Human Services and the Alamance County Health Department regarding mitigation measures. Depending upon the nature of the outbreak this guidance may require students to reside off campus and excluded from university facilities or programs until the epidemic or threat no longer constitutes a significant public health danger.