Covid-19 Consent to Release Records

Pursuant to the Texas Governor's Executive Order GA 35, Grayson College cannot require you to disclose whether or not you have received the Covid-19 vaccine to receive services from the college or to enter any college property.


However, the affiliate site where you will perform your clinical rotation requires that you disclose this information and attest to your vaccination status. Please be advised that should you elect not to obtain the vaccination and disclose this information, the affiliate site may not allow you to perform your clinical rotation at their facility based on their own internal policies and requirements.


Grayson College is only facilitating the disclosure of this information that is required by the affiliate site. Your voluntary disclosure of this information to the college is not a condition of receiving any service from Grayson College or entering into any college property.


If you qualify for an exemption from the affiliate site's vaccine requirement, please indicate that below and follow the guidelines provided by Grayson College.

Program of Study*
Have you received the Covid-19 vaccine?*
Which vaccine did you receive?*
Is your vaccine series complete?*

Are you exempt from this requirement?*
Have you filed an exemption through Grayson College?*

Exemption Form


Please click on the following link to fill out the Grayson College exemption form.


Exemption Form


You must submit this form along with your exemption form!