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Southern University Law Center Proof of Immunization Compliance (Louisiana R.S. 17:170 Schools of Higher Learning) STUDENT MUST COMPLETE Name: (Please Print) (Last) Social Security Number: XXXIX ___ Date

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How to fill out immunization compliance - souformrn

01

Obtain the immunization compliance - souformrn form from the required institution or healthcare provider.

02

Fill out all personal information including name, date of birth, and student ID number.

03

Record all immunizations received with dates and dosage information.

04

Have a healthcare provider sign and verify the form to confirm compliance with immunization requirements.

05

Submit the completed form to the appropriate department or organization for processing.

Who needs immunization compliance - souformrn?

01

Any individual who is required to provide proof of immunization compliance by a specific institution or organization such as a school, university, or employer.

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What is immunization compliance - souformrn?

Immunization compliance - souformrn refers to the requirement to meet the immunization guidelines set by a specific organization or institution.

Who is required to file immunization compliance - souformrn?

Individuals such as students, employees, or members of a particular organization may be required to file immunization compliance - souformrn.

How to fill out immunization compliance - souformrn?

Immunization compliance - souformrn can typically be filled out by providing documentation of immunization records or submitting a form with the necessary information.

What is the purpose of immunization compliance - souformrn?

The purpose of immunization compliance - souformrn is to ensure that individuals are up to date on their immunizations to prevent the spread of vaccine-preventable diseases.

What information must be reported on immunization compliance - souformrn?

Information such as the dates of immunizations, types of vaccines received, and any exemptions or waivers must be reported on immunization compliance - souformrn.

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