DUHS Requirements & Exemptions
Annual vaccination against the flu is now a condition of employment at Duke University Health System. This policy applies to all people who provide care, treatment or services in the organization, including those receiving pay (for example, permanent, temporary, part-time personnel), as well as members of the medical staff, contract employees, volunteers, vendors and health profession students except those who have been granted a medical or religious exemption.
For more information on this policy, please see the document links to the right or send questions via email to email@example.com.
Applications for medical or religious exemptions should be submitted before Monday, October 8, 2018.
To apply for a medical exemption, have your medical provider complete and sign this form. Fax the completed form to the Employee Occupational Health & Wellness confidential fax at 919-613-3518 or email a scanned copy to firstname.lastname@example.org.
To apply for a religious exemption, submit the online form to Staff and Labor Relations. Alternatively, you can email a completed pdf of the form (Spanish version) to email@example.com or send it via fax at 919-681-7924.
The 2018 deadline for policy compliance is Tuesday, October 30, 2018.
Outside Vaccination Reporting
If you have been vaccinated outside of Duke Employee Occupational Health and not by the Duke peer vaccination program, send official documentation of flu vaccination to EOHWflu@dm.duke.edu or FAX to 919-613-3518.
Official documentation must include your Duke Unique ID, and any of the following:
- Print out from MY Chart showing employee name, date and type of vaccine administered.
- Documentation from provider with clinic letterhead/ address or encounter form showing date and type of vaccine administered, DOB.
- Pharmacy printout with employee name, DOB, name of vaccine, date of vaccination and location/ address of pharmacy.
It is important: Please write your Duke Unique ID# on the flu documentation, so that the correct employee gets the correct credit! Add your best contact phone number in case EOHW needs to reach you.
The Decision Appeal process may be activated by the employee following receipt of the decision. The appeal must be submitted within 10 calendar days of receipt of the decision being appealed. If there are fewer than 10 days remaining until the deadline for policy compliance, the appeal should be submitted immediately to allow time for review and communication of a decision before the compliance deadline. Submit a completed Influenza Vaccination Decision Appeal Form to StopTheFlu@dm.duke.edu or fax to 919-660-0260.