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Immunization Form Name:LastFirstMiddle/Videophone: Cell Home UNC PID#: Gender Identity: Male Female_Date of Birth:MM/DD/YYYYEmail: Transgender SelfIdentify Semester: Ballsier Entering UNC: Previously
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Download the campushealthunceduwp-contentuploadsimmunization and medical history form from the website.
02
Fill in your personal information such as name, date of birth, and contact information.
03
Fill out the immunization section by providing information on the immunizations you have received including dates and types of vaccines.
04
Fill out the medical history section by providing details on any medical conditions, allergies, or medications you are currently taking.
05
Sign and date the form to certify that the information provided is accurate and complete.

Who needs campushealthunceduwp-contentuploadsimmunization and medical history?

01
All students who are planning to enroll in classes at the University of North Carolina at Chapel Hill need to fill out the campushealthunceduwp-contentuploadsimmunization and medical history form.
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The document contains information about immunizations and medical history.
All students are required to file the immunization and medical history.
Students can fill out the form online or submit it in person at the health center.
The purpose is to ensure that all students are up to date on their immunizations and to provide important medical information to the university's health services.
Students must report their immunization records, medical conditions, and any medications they are taking.
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