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This form is required for all students to provide their immunization records to the Thomson Student Health Center before registration. It contains sections for required immunizations, recommended
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How to fill out required student immunization form

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How to fill out Required Student Immunization Form

01
Obtain the Required Student Immunization Form from your school or educational institution.
02
Review the instructions provided on the form carefully.
03
Fill in your personal information, including your full name, date of birth, and contact information.
04
List all required vaccinations according to the guidelines provided by your state or institution.
05
Provide the dates of each vaccination received, ensuring they are organized in chronological order.
06
If applicable, include any additional immunization information or exemptions as indicated on the form.
07
Sign and date the form to verify the information is accurate.
08
Submit the completed form to the designated school official or health office by the specified deadline.

Who needs Required Student Immunization Form?

01
All students enrolling in school for the first time.
02
Students transferring from another school.
03
Students entering specific grade levels that require updated immunization records.
04
Students participating in certain extracurricular activities or sports.
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California removed its personal and religious exemption option in 2015. Parent/guradian must complete an online educational module to receive a non-medical exemption. Connecticut removed its religious exemption option in 2021.
Immunization Requirements DTaP vaccine (diphtheria, tetanus and pertussis) Polio vaccine. MMR vaccine (measles, mumps, rubella) Hepatitis B vaccine. Varicella vaccine (or date of disease) Haemophilus influenza type b (Hib) vaccine.
Indiana state law requires all new, regularly enrolled students attending residential campuses of Indiana public universities be immunized against rubeola (10-day measles), rubella (German measles), mumps, meningitis, diphtheria and tetanus.
With the end of the COVID-19 public health emergency, many states are winding down COVID-19 vaccine mandates, with some states moving to limit the ability of public and private entities to require COVID-19 vaccinations as a condition of employment or access to goods and services.
Required Immunizations in Kentucky For kindergarten entry, all children at least 5 years of age must have: Five doses of DTaP or DTP (diphtheria, tetanus, pertussis) or combinations of the two vaccines. Four doses of IPV or OPV (polio) or combinations of the two vaccines. Three doses of hepatitis B.
Indiana law only allows religious and medical exemptions.

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The Required Student Immunization Form is a document that ensures students are vaccinated against certain preventable diseases before they attend school or university.
Typically, all incoming students, including those entering kindergarten and college, are required to file the Required Student Immunization Form to verify their immunization status.
To fill out the form, individuals must provide personal information, vaccination history, and sign to authorize the vaccine records to be submitted.
The purpose of the form is to protect public health by ensuring that students are vaccinated against infectious diseases that can spread in school environments.
The form must report the student's name, date of birth, vaccination dates, types of vaccines received, and any exemptions based on medical or religious reasons.
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