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Seton Hill University Meningitis Immunization Form free printable template

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MENINGITIS IMMUNIZATION FORM Complete the top half of the form and the section indicating conformation or exemption as appropriate. Obtain signatures as required and attach to the Health History Form. The American College Health Association and Seton Hill University supports the meningococcal vaccination recommendation issued by the Advisory Committee on Immunization Practices ACIP of the Center for Disease Control and Prevention CDC. Obtain signatures as required and attach to the Health...
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How to fill out Seton Hill University Meningitis Immunization Form

01
Obtain the Seton Hill University Meningitis Immunization Form from the university's website or student health services.
02
Fill out your personal information at the top of the form, including your name, date of birth, and student ID.
03
Provide information regarding your vaccination status, indicating whether you have received the meningitis vaccine.
04
If you have received the vaccine, fill in the date(s) of vaccination and the type of vaccine received.
05
If you have not received the vaccine, indicate your reason for exemption (e.g., health reasons, religious beliefs).
06
Have a healthcare provider sign and date the form if required by the university.
07
Review the form for accuracy and completeness before submission.
08
Submit the completed form to the admissions office or designated healthcare services at Seton Hill University by the specified deadline.

Who needs Seton Hill University Meningitis Immunization Form?

01
All incoming students who will be living in on-campus housing.
02
Students who are enrolling in certain programs that require direct contact with patients or vulnerable populations.
03
Any student who has not previously submitted a meningitis immunization record to the university.
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In Texas, one dose of MCV4 given at or after age 11 years is required for children in 7th-12th grades. One dose of MCV4 received in the previous five years is required in Texas for those under the age of 22 years and enrolling in college.
MenACWY Vaccine Mandates for Colleges and Universities StateWhat types of institutions?Implementation dateArkansasCaliforniaColoradoAll colleges & universities7/1/2005ConnecticutAll colleges & universities9/1/200248 more rows
The MenACWY vaccine is recommended for college freshman living in a dormitory. The vaccine has been recommended for 11-12 year olds since 2005, so it is possible that incoming freshmen have already received a dose. If you received a dose before age 16, you should get a booster before you go to college.
Administer 2 doses to healthy adolescents who are not at increased risk for serogroup B meningococcal disease. Administer the second dose 6 months after the first dose. Administer 3 doses to people 10 years of age or older who are at increased risk for meningococcal disease.
Vaccine providers give a 3-dose series to people 10 years or older at increased risk of meningococcal disease.
On May 14th Seton Hall announced that all students, faculty, and employees are required to be fully vaccinated for the fall semester, subject to exemptions for religious beliefs, pre-existing health conditions, or personal reasons while COVID-19 vaccines are authorized on an emergency-use basis.
Meningococcal Serogroup B (MenB) ing to the Centers for Disease Control and Prevention (CDC), MenACWY is the vaccine recommended for this age group of college students.

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The Seton Hill University Meningitis Immunization Form is a document required by the university that verifies that students have received the meningitis vaccination, in compliance with health regulations.
All incoming students, particularly those living in on-campus housing, are required to file the Seton Hill University Meningitis Immunization Form.
To fill out the form, students need to provide their personal information, vaccination dates, and signatures, often with documentation from their healthcare provider indicating immunization.
The purpose of the meningitis immunization form is to ensure that students are protected against meningococcal disease and to comply with state and university health policies.
The form typically requires personal identification details, vaccination dates, the type of vaccine received, and possibly a healthcare provider's endorsement or signature.
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