COVID-19 Testing Restrictions and Exemptions

If you are Restricted in CoVerified you will need to complete the form below 48 hours prior to coming to campus.

Nurse Practitioners will be notified and will adjust your CoVerified app status according to the specifics of your request. Submitting this form does not result in an automatic CLEARED status on the app, so please be patient. There is high demand at this time and the Nurse Practitioners will respond as quickly as possible via Suffolk email, but the process will not be immediate. The deadline to submit this form is Friday at noon. Any request received after Friday at noon will not be processed until the following Monday and if you are Restricted in CoVerified you will need to complete the form below 48 hours prior to coming to campus.

Please do not submit this form:

  • If you are not planning to come to campus. Please use CoVerified to note your status as “Remote”.
  • If you will be unable to keep a scheduled testing appointment and you are able to reschedule your appointment for an earlier date to remain compliant.

Required fields are marked with an asterisk (*)

I AM FILLING OUT THIS FORM BECAUSE (choose one):*