COVID Rescheduling and Exemption Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Please complete this form if you:

• Have been selected for asymptomatic testing and need to reschedule your appointment. Examples of rescheduling requests are having a previous positive test within 90 days, being in quarantine or isolation, having a scheduling conflict (including being away from campus).

• Have a location change that would now make you eligible to be removed from asymptomatic testing and SneezSafe usage.

Email *

I am: *

Requesting to reschedule asymptomatic testing.

Requesting to be exempted from asymptomatic testing for the entire semester.

Requesting to be exempted from SneezSafe usage for the entire semester.

Requesting to be exempted from asymptomatic testing and SneezSafe usage for the entire semester.

Clear form

Never submit passwords through Google Forms.

This form was created inside of Wake Forest University. Report Abuse

Forms