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Covid exemption certificates

We have had a National update regarding the process for exemption certificates.

Process as follows:

  • Patient calls 119
  • 119 send electronic form to GP, Specialist or Midwife
  • Clinician then completes process if exemption criteria met
  • This decision is then entered onto the summary care record
  • Patient will get a letter from NHSE : not from their GP practice


  • Severe reaction to vaccine (needs to see immunology team)
  • Myocarditis (needs cardiology opinion)
  • Thrombosis post vaccine & ITP
  • Transverse myelitis / Guillan Barre
  • End of life
  • Very severe autism / Learning difficulty

Pregnancy: awaiting further guidance