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Carson-Newman College Immunization Record free printable template

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CARSON-NEWMAN COLLEGE IMMUNIZATION RECORD Please Return to: Health Services, Jefferson City, TN 37760 Phone (865) 471-3350 Fax (865) 471-4411 www.cn.edu Name C-N Student ID # Last First M. Instructions:
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How to fill out Carson-Newman College Immunization Record

01
Obtain the Carson-Newman College Immunization Record form from the college's website or health services office.
02
Fill in your personal details such as your name, date of birth, and student ID number at the top of the form.
03
Review the required immunizations listed on the form.
04
Gather your vaccination records, including dates and types of vaccines received.
05
Complete the immunization section by providing the dates and types of immunizations administered.
06
If applicable, have your healthcare provider sign and date the form to verify the information.
07
Submit the completed Immunization Record form to the designated office at Carson-Newman College by the specified deadline.

Who needs Carson-Newman College Immunization Record?

01
All incoming students at Carson-Newman College, including undergraduate and graduate students, are required to submit an Immunization Record.
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IM - Immunization Proof Required Students under the age of 22 must show proof of having a bacterial meningitis vaccination (or submit a conscientious exemption form from the Texas Department of State Health Services). The proof of immunization can be submitted by registering at the Med+Proctor website.

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The Carson-Newman College Immunization Record is a document that collects and verifies the immunization history of students attending the college to ensure they meet health and safety requirements.
All incoming students, including first-time freshmen, transfer students, and those entering graduate programs, are required to file the Carson-Newman College Immunization Record.
To fill out the Carson-Newman College Immunization Record, students must provide their personal information, list their vaccination history, and submit any required documentation or proof of immunizations.
The purpose of the Carson-Newman College Immunization Record is to protect the health of the campus community by ensuring that all students are up to date on required vaccinations, thus minimizing the risk of outbreaks and promoting public health.
The information that must be reported on the Carson-Newman College Immunization Record includes the student's name, date of birth, vaccination dates, types of vaccines received, and any additional health information as specified by the college.
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