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This document is for Seattle campus students who have paid the Health Sciences Health Fee to request reimbursement for annual flu shots and TB tests due to clinical assignments or WWAMI participation.
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How to fill out health sciences immunization program
How to fill out Health Sciences Immunization Program (HSIP) Student Request for PPD and FLU Reimbursement
01
Obtain the Health Sciences Immunization Program (HSIP) Student Request form from the official website or your institution.
02
Fill in your personal details including name, student ID, and contact information.
03
Indicate the type of reimbursement you are requesting (PPD and/or FLU).
04
Attach a copy of the payment receipt or documentation proving you paid for the PPD or FLU vaccine.
05
Provide any additional information required, such as the date of vaccination and the provider's information.
06
Review the filled form for accuracy and completeness.
07
Sign and date the form where indicated.
08
Submit the completed form to the designated office or department as instructed, either electronically or physically.
Who needs Health Sciences Immunization Program (HSIP) Student Request for PPD and FLU Reimbursement?
01
Students enrolled in programs requiring proof of immunization for clinical placements or other health-related activities.
02
Students who have paid for the PPD or FLU vaccine and are seeking reimbursement under the Health Sciences Immunization Program.
03
Individuals who are required to comply with health regulations set by their educational institution.
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People Also Ask about
What vaccinations are required for UW?
UW General Immunity Requirement To protect the health and safety of our students, faculty, academic personnel, staff, and broader community, the University of Washington requires all students to be vaccinated against Measles, Mumps, and Meningitis Meningococcal ACWY, with certain exemptions allowed.
How to submit immunization records to UW?
All students will submit their documents through Med+Proctor. To login, please sign-in through the SSO using your NetID. It may require Two Factor Authentication (2FA). If you are unable to access your 2FA, please review the UW-IT's 2FA information.
How to submit immunization records to WSU?
Upload your vaccination record Log into your Patient portal. Click “Required Forms and Vaccines” in the left-hand menu. Click "Update" on Vaccination Record. Click "Upload" to add your document(s). Make sure your document is readable. Click "Update" on the individual vaccine requirements to add your vaccination dates.
How to upload immunization records to UPenn?
Through your PennChart account, you can access your Student Health and Counseling records and upload and manage your immunization records. Please note: you will be directed to your MyChart through myPennMedicine.
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What is Health Sciences Immunization Program (HSIP) Student Request for PPD and FLU Reimbursement?
The Health Sciences Immunization Program (HSIP) Student Request for PPD and FLU Reimbursement is a formal process that allows students in health sciences programs to get reimbursed for the costs associated with their PPD tests and flu vaccinations.
Who is required to file Health Sciences Immunization Program (HSIP) Student Request for PPD and FLU Reimbursement?
Students enrolled in health sciences programs who have incurred expenses for PPD testing or flu vaccinations are required to file the HSIP Student Request for reimbursement.
How to fill out Health Sciences Immunization Program (HSIP) Student Request for PPD and FLU Reimbursement?
To fill out the HSIP Student Request for PPD and FLU Reimbursement, students must provide their personal information, details of the expenses, and attach relevant receipts. They should follow the specific instructions provided by the HSIP guidelines.
What is the purpose of Health Sciences Immunization Program (HSIP) Student Request for PPD and FLU Reimbursement?
The purpose of the HSIP Student Request for PPD and FLU Reimbursement is to support students by alleviating financial burdens associated with necessary health screenings and vaccinations required for their education and clinical rotations.
What information must be reported on Health Sciences Immunization Program (HSIP) Student Request for PPD and FLU Reimbursement?
The information that must be reported includes the student's name, contact details, the type and date of the service (PPD test or flu vaccination), the cost incurred, and any relevant payment receipts.
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