Middle Tennessee State University Certificate of Immunization 2016-2025 free printable template

Certificate of Immunization MIDDLE TENNESSEE STATE UNIVERSITY REQUIRES FULL TIME STUDENTS TO PROVIDE PROOF OF TWO (2) DOSES OF MEASLES, MUMPS, AND RUBELLA (MMR) AND TWO (2) DOSES OF VARICELLA (CHICKEN

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How to fill out Middle Tennessee State University Certificate of Immunization

1. Obtain the Middle Tennessee State University Certificate of Immunization form from the university's website or admissions office.
2. Review the immunization requirements listed on the form to ensure you understand what is needed.
3. Fill in your personal information, including your name, date of birth, and student ID number.
4. Provide details of your immunization history, including the dates of your vaccinations.
5. Ensure that all required immunizations are documented, including measles, mumps, rubella (MMR), and any others specified.
6. Have a healthcare provider or clinic verify and sign the form, confirming the authenticity of your immunization records.
7. Submit the completed form to the appropriate office at Middle Tennessee State University, either online or in person, before the deadline.

Who needs Middle Tennessee State University Certificate of Immunization?

1. Any student who is enrolling at Middle Tennessee State University and is required to provide proof of immunization as part of the admission process.

People Also Ask about

Can you opt out of vaccines in Tennessee?

How to Opt-Out of Having Vaccine Information in TennIIS. An individual or the parent or legal guardian of a child may request that immunization information not be recorded in TennIIS.

How to get a medical exemption for vaccines in tn?

This form must be completed by a physician (MD/DO) or Tennessee Department of Health Public Health Nurse (PHN) licensed in the State of Tennessee to document a true medical contraindication/precaution to an immunization(s). This document may be accepted by agencies that require proof of medical exemption.

Where to get a Tennessee immunization form?

To begin a TN immunization record request, please call the TDH at (615) 741-7247 and provide the following information about the person whose record is needed: Individual's full name (first, middle, and last name)

What immunizations are on a TN form?

Immunization Requirements The state of Tennessee requires students entering colleges, universities, and technical institutes with enrollment of greater than 200 students to provide proof of two (2) doses of Measles, Mumps, and Rubella (MMR) vaccine on or after the first birthday or proof of immunity to measles.

What vaccines are required for college in Tennessee?

Full-time Tennessee college students Measles, Mumps, Rubella (2 doses of each, normally given together as MMR): if born on or after January 1, 1957 only. Varicella (2 doses or credible history of disease): if born on or after January 1, 1980 only.

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What is Middle Tennessee State University Certificate of Immunization?

The Middle Tennessee State University Certificate of Immunization is an official document that verifies a student's immunization history and compliance with the university's health requirements.

Who is required to file Middle Tennessee State University Certificate of Immunization?

All incoming students, including first-time freshmen and transfer students, are required to file the Middle Tennessee State University Certificate of Immunization.

How to fill out Middle Tennessee State University Certificate of Immunization?

To fill out the Middle Tennessee State University Certificate of Immunization, students must complete the immunization history section and provide dates of vaccinations, ensure the form is signed by a healthcare provider, and submit it to the university's health services.

What is the purpose of Middle Tennessee State University Certificate of Immunization?

The purpose of the Middle Tennessee State University Certificate of Immunization is to ensure that students are protected against certain communicable diseases, promoting the health and safety of the campus community.

What information must be reported on Middle Tennessee State University Certificate of Immunization?

The information that must be reported includes the dates of required vaccinations, type of vaccines received, and proof of immunity, along with the student's personal details and healthcare provider's signature.