
Grambling State University Proof of Immunization Compliance 2009 free printable template
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PROOF OF IMMUNIZATION COMPLIANCE Louisiana R.S. 17 170/R.S. 17 170. 1 Schools of Higher Learning SS Number GRAMBLING STATE UNIVERSITY Date Date of Birth Month Year Name Please Print First Last Middle Address City State Zip Code UNIVERSITY REQUIRED IMMUNIZATIONS Physician or Other Health Care Provider Verification See other side UNIVERSITY RECOMMENDED IMMUNIZATIONS READ INFORMATION ON BACK OF THIS FORM You will not be permitted to register until you complete this form and return to...
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How to fill out Grambling State University Proof of Immunization Compliance

How to fill out Grambling State University Proof of Immunization Compliance
01
Obtain the Grambling State University Proof of Immunization Compliance form from the university website or admissions office.
02
Fill in your personal details including your name, date of birth, and student ID.
03
List all required vaccinations as per university guidelines, including dates of administration for each vaccine.
04
Provide documentation such as health records or official immunization certificates to support the information you provided.
05
Have your healthcare provider sign and date the form to verify the accuracy of the immunization information.
06
Submit the completed form to the university's health services office by the specified deadline.
Who needs Grambling State University Proof of Immunization Compliance?
01
All incoming students at Grambling State University, including freshmen, transfer students, and international students, are required to submit the Proof of Immunization Compliance.
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What is Grambling State University Proof of Immunization Compliance?
Grambling State University Proof of Immunization Compliance is a mandatory verification process that ensures all enrolled students have received required vaccinations to protect their health and that of the campus community.
Who is required to file Grambling State University Proof of Immunization Compliance?
All incoming undergraduate and graduate students who are enrolling for the first time must file the Grambling State University Proof of Immunization Compliance.
How to fill out Grambling State University Proof of Immunization Compliance?
To fill out the Grambling State University Proof of Immunization Compliance, students need to complete the required immunization form, providing details of their vaccinations and dates, and submit it to the health services office.
What is the purpose of Grambling State University Proof of Immunization Compliance?
The purpose of the Grambling State University Proof of Immunization Compliance is to ensure student health and safety by confirming that all students are immunized against certain diseases that can spread in a campus environment.
What information must be reported on Grambling State University Proof of Immunization Compliance?
Students must report their immunization history, including dates of vaccinations for measles, mumps, rubella, tetanus, and other required immunizations as specified by the university.
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