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CAMPUS HEALTH SERVICES
IMMUNIZATION RECORD FORM FOR ALL STUDENTS
WHO REQUIRE VACCINES FOR PLACEMENT
*Please complete ALL information requested on THIS PAGE ONLY and bring completed form to your
Campus
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How to fill out campus health services immunization

How to fill out campus health services immunization:
01
Obtain the necessary forms from the campus health services or download them from their website.
02
Fill out personal information such as your full name, date of birth, and contact details.
03
Provide your immunization history, including the dates and types of vaccines received.
04
Make sure to include proof of immunization by attaching copies of your vaccination records or a letter from your healthcare provider.
05
If you have not received all the required vaccines, indicate that you are working on completing them and provide a timeline.
06
Sign and date the form, ensuring that all information is accurate and complete.
07
Submit the filled-out form and supporting documents to the campus health services office.
Who needs campus health services immunization:
01
Students: Most colleges and universities require incoming students to provide proof of immunization to protect the campus community from vaccine-preventable diseases.
02
International students: Immunization requirements may vary depending on the country of origin, but international students are often required to show proof of certain vaccines.
03
Transfer students: Even if you have already completed immunizations at your previous institution, you may still need to provide documentation to meet the requirements of your new campus health services.
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What is campus health services immunization?
Campus health services immunization refers to the requirements set by a university or college for students to provide proof of immunizations before attending classes or living on campus.
Who is required to file campus health services immunization?
All students enrolled in the university or college are typically required to submit their immunization records to campus health services.
How to fill out campus health services immunization?
Students can usually fill out the campus health services immunization form online or by submitting physical copies of their immunization records to the health services office.
What is the purpose of campus health services immunization?
The purpose of campus health services immunization is to ensure a safe and healthy environment for all students, faculty, and staff by preventing the spread of communicable diseases.
What information must be reported on campus health services immunization?
Students are typically required to report information about vaccinations they have received, including the dates of administration and the type of vaccine.
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