Get the free Immune Status Form - Oregon Health & Science University - ohsu

Get Form

Show details

Primary series of 3. Booster within the last 10 years. (Rubella) Required: One of the following) Immunity confirmed by blood tier (Attach copy of lab report) 2) Two MMR vaccinations Date completed:

We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign immune status form

Edit your immune status form form online

Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.

Add your legally-binding signature

Draw or type your signature, upload a signature image, or capture it with your digital camera.

Share your form instantly

Email, fax, or share your immune status form form via URL. You can also download, print, or export forms to your preferred cloud storage service.

Editing immune status form online

Ease of Setup

pdfFiller User Ratings on G2

Ease of Use

pdfFiller User Ratings on G2

To use our professional PDF editor, follow these steps:

1

Log in to account. Click on Start Free Trial and register a profile if you don't have one yet.

2

Upload a file. Select Add New on your Dashboard and upload a file from your device or import it from the cloud, online, or internal mail. Then click Edit.

3

Edit immune status form. Rearrange and rotate pages, insert new and alter existing texts, add new objects, and take advantage of other helpful tools. Click Done to apply changes and return to your Dashboard. Go to the Documents tab to access merging, splitting, locking, or unlocking functions.

4

Save your file. Select it from your records list. Then, click the right toolbar and select one of the various exporting options: save in numerous formats, download as PDF, email, or cloud.

With pdfFiller, it's always easy to work with documents. Try it out!

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.

Learn more about security & compliance

How to fill out immune status form

How to fill out immune status form:

01

Start by providing your personal information, such as your full name, date of birth, and contact details.

02

Next, indicate any relevant medical conditions or allergies that you have. This information is crucial for evaluating your immune status accurately.

03

If you have received any vaccinations or immunizations, specify the type, date, and any supporting documentation you may have. This will help healthcare professionals assess your level of immunity to various diseases.

04

Include any recent laboratory tests or screenings you have undergone that are related to your immune system. This may include blood tests, antibody tests, or any other diagnostic procedures.

05

If you have a history of certain diseases or infections, provide details about the diagnosis, treatment received, and any subsequent follow-up care.

06

Finally, make sure to sign and date the form to authenticate your submission.

Who needs immune status form:

01

Individuals seeking employment in certain industries, such as healthcare, education, or childcare, may be required to submit an immune status form. This is to ensure the safety and well-being of both the employee and the people they may come into contact with.

02

Educational institutions, especially universities and colleges, often require students to provide their immune status as part of the admission process. This is crucial for managing the health of the student population and preventing the spread of diseases.

03

Healthcare facilities, including hospitals and clinics, may require patients to fill out an immune status form to assess their vulnerability to certain diseases and determine the necessary preventive measures or treatments.

Overall, filling out the immune status form accurately and completely is essential for assessing an individual's immune system and ensuring appropriate measures are taken to maintain their health and the health of those around them.

Fill form : Try Risk Free

Rate the form

4.3

Satisfied

33 Votes

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

How can I send immune status form to be eSigned by others?

Once your immune status form is ready, you can securely share it with recipients and collect eSignatures in a few clicks with pdfFiller. You can send a PDF by email, text message, fax, USPS mail, or notarize it online - right from your account. Create an account now and try it yourself.

How do I edit immune status form in Chrome?

Install the pdfFiller Google Chrome Extension in your web browser to begin editing immune status form and other documents right from a Google search page. When you examine your documents in Chrome, you may make changes to them. With pdfFiller, you can create fillable documents and update existing PDFs from any internet-connected device.

Can I create an electronic signature for signing my immune status form in Gmail?

You can easily create your eSignature with pdfFiller and then eSign your immune status form directly from your inbox with the help of pdfFiller’s add-on for Gmail. Please note that you must register for an account in order to save your signatures and signed documents.

What is immune status form?

The immune status form is a document that collects information about an individual's vaccination history or recent exposure to infectious diseases.

Who is required to file immune status form?

Individuals who are applying for certain jobs, attending schools, or participating in specific activities may be required to file an immune status form.

How to fill out immune status form?

To fill out an immune status form, individuals need to provide information about their vaccination history, any recent exposure to infectious diseases, and any relevant medical conditions.

What is the purpose of immune status form?

The purpose of the immune status form is to ensure that individuals are adequately protected against infectious diseases and to prevent the spread of communicable illnesses in certain settings.

What information must be reported on immune status form?

Information that must be reported on the immune status form includes vaccination dates, types of vaccinations received, any recent exposure to infectious diseases, and relevant medical conditions.

Fill out your immune status form online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now