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CAMPUS PHYSICIAN IMMUNIZATION & MEDICAL REPORT Brown University PreCollege Programs Box T, Providence, Rhode Island 029129120 Tel 4018637900INFORMATION FOR PARENTS/GUARDIANS The State of Rhode Island
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How to fill out on-campus physician immunization ampamp

01
To fill out the on-campus physician immunization form, follow these steps:
02
Obtain the form from the health services department or download it from the university website.
03
Provide your personal information such as name, date of birth, and student ID number.
04
Fill in your immunization records, including the types of vaccines received and the dates they were administered.
05
If you have not received any vaccinations, indicate that as well on the form.
06
Attach any supporting documents or medical records related to your immunization history.
07
Sign and date the form to certify that the information provided is accurate.
08
Submit the completed form to the designated office or drop it off at the health services department.
09
If there are any further requirements or follow-ups, follow the instructions provided by the health services department.
10
Keep a copy of the filled out form for your records.

Who needs on-campus physician immunization ampamp?

01
On-campus physician immunization is required for all students enrolled in the university.
02
It is mandatory for both undergraduate and graduate students, including international students.
03
Anyone accessing university facilities, participating in on-campus events, or residing in university housing needs to complete the on-campus physician immunization.
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On-campus physician immunization amp refers to the process of reporting immunization information to the campus health center or a designated healthcare provider.
All students attending the university are required to file on-campus physician immunization information.
Students can fill out the on-campus physician immunization form by providing their vaccination records or by scheduling an appointment with a healthcare provider on campus.
The purpose of on-campus physician immunization is to ensure that all students are up-to-date on their vaccinations to promote a healthy and safe campus environment.
The information that must be reported includes the student's name, date of birth, vaccination history, and any relevant medical exemptions.
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