While all members of the Duke community are expected to participate in the annual flu vaccine program, annual vaccination against the flu is a condition of employment at Duke Health.

Duke has defined Friday, April 1, as the official end of the flu season. For the purposes of the Duke University Health System (DUHS) Healthcare Worker Flu Vaccination Policy, new staff/providers who are joining DUHS on or after April 1, will not be required to be vaccinated against the flu or have an approved exemption, but will be required to comply with the policy during the fall 2022 flu vaccination period.

For more information on this policy, please see the Frequently Asked Questions. Send questions via email to stoptheflu@dm.duke.edu.


Applications for medical or religious exemptions should be submitted before Monday, November 1, 2021.

Medical Exemption

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 eohwflu@dm.duke.edu.

Religious Exemption

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 hrslrpolicies@duke.edu or send it via fax at 919-681-7924.

The 2021 deadline for policy compliance is 10 a.m. Tuesday, November 9, 2021.

Outside Vaccination Reporting

If you have been vaccinated outside of Duke Employee Occupational Health and not by the Duke peer vaccination program, submit official documentation of flu vaccination to http://sites.duke.edu/vaxtraxdoc. Official documentation must include your Duke Unique ID, and any of the following:

  • Print out from MyChart 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.

Students can also submit documentation of external vaccination to Student Health via immunizations@duke.edu​.


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.

Frequently Asked Questions

For more information about flu vaccine requirements, compliance, and health benefits please see the Frequently Asked Questions.

Frequently Asked Questions