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IMMUNIZATION RECORD | MASS LOWELL Name:Date of Birth:THIS FORM MUST BE COMPLETED AND SIGNED BY A MEDICAL PROVIDER. ALTERNATIVELY, YOU MAY ATTACH A SIGNED FORM FROM YOUR MEDICAL OFFICE THAT MEETS ALL

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How to fill out immunization record umass lowell

01

Gather all immunization records received from healthcare providers or previous educational institutions.

02

Log in to the Student Health Services Patient Portal using your UMass Lowell credentials.

03

Upload the scanned copies of your immunization records to the portal.

04

Fill out the medical history form and provide information about your past immunizations.

05

Submit the completed form and records for review by the Student Health Services.

Who needs immunization record umass lowell?

01

All students attending UMass Lowell are required to submit their immunization records to Student Health Services.

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What is immunization record umass lowell?

Immunization record UMass Lowell is a document that shows proof of immunizations received by students attending UMass Lowell.

Who is required to file immunization record umass lowell?

All incoming and current students at UMass Lowell are required to file their immunization records.

How to fill out immunization record umass lowell?

Students can fill out their immunization records online through the UMass Lowell Student Health Services portal.

What is the purpose of immunization record umass lowell?

The purpose of the immunization record at UMass Lowell is to ensure that all students are up to date on their required vaccinations to protect the health and safety of the campus community.

What information must be reported on immunization record umass lowell?

The immunization record at UMass Lowell must include information on the vaccines received, dates of administration, and healthcare provider information.

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