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LIM College Student Immunization Record Form 2009 free printable template

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STUDENT IMMUNIZATION RECORD FORM Name: Date of Birth: Semester Entering LIM: ID #: E-Mail Address: PART I: MENINGOCOCCAL MENINGITIS RESPONSE: New York State Public Health Law 2167 (CHECK ONE BOX ONLY)
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The Lim College immunization form is a document that students must complete and submit to the college to provide information about their immunization history and ensure compliance with the college's immunization requirements.
All incoming and current students at Lim College are required to file the immunization form to meet the college's immunization requirements.
To fill out the Lim College immunization form, students need to provide information about their immunization history, including the dates and types of vaccines received. The form should be completed electronically or by hand and submitted to the college either online or through mail.
The purpose of the Lim College immunization form is to ensure that students are protected from communicable diseases and to comply with state and federal laws regarding immunization requirements for college students.
The Lim College immunization form requires students to report information such as their name, birthdate, contact information, vaccination history, and any relevant medical documentation or exemptions. Details on specific vaccines and dates of administration may also be required.
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