To keep in line with CMS Guidelines, MED-PASS has updated its Vaccination of Staff policy and corresponding paperwork. CMS revisions include reviews of noncompliance levels, guidance to surveyors, and an appraisal of hospitalization statistics in regards to the continuing severity of COVID-19.

The following updated products will help keep your facility in compliance.


Staff Vaccination Mandate Essentials Starter Pack

This starter pack combines all the most relevant details of COVID-19 staff vaccination mandate, including a 5-page policy updated October 2022.

Pack Includes:

-Vaccination of Staff – Policy

-Summary Document for Interim Clinical Considerations from the CDC

-Prevaccination Checklist for COVID-19 Vaccines from the CDC


Staff Request for Religios Exemption to the COVID-19 Vaccination Requirement

Staff will obtain this fillable PDF to request religious exemption. These will be submitted to the Ethics Committee or Governing Board for comment and approval.

Also available as a physical form.


Staff Request for Medical Exemption to the COVID-19 Vaccination Requirement

Staff will obtain this fillable PDF to request medical exemption. These will be submitted to the Ethics Committee or Governing Board for comment and approval.

Also available as a physical form.