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The document is an Immunization Form for Purdue University Calumet, requiring students to provide vaccination records and health information. It outlines necessary immunizations, including MMR, Tetanus/Diphtheria, and TB tests, particularly for international students. The form must be completed in English, signed by a medical provider and the student or guardian, and submitted to the Student Health Services Center. It also includes sections for health history and parental authorization for minors.

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How to submit immunization records in Purdue?

To comply with immunization requirements, you must complete the medical clearances section in your Patient Portal. Log into the portal, look for the Medical Clearances tab on the left and update any items marked Non Compliant by submitting documentation.

Do colleges require the Tdap vaccine?

Students in public institutions of higher education must be immunized against Tdap, MMR, meningococcal disease and hepatitis B. A religious exemption is permitted. Public and private colleges that offer on-campus or group housing must provide information on meningococcal disease to each first-time student.

Where are immunization records on MyChart?

Sign into your account or the app. Under Health History Dashboard, select Health Summary. From there, select Immunizations. MyChart can even pull in records from vaccines you received at other locations, such as a pharmacy.

How do I submit my immunization records to UCI?

On the portal home page, click on Immunization/TB Upload on the left menu bar. c. On the Immunization/TB Upload page, click on the Add Immunization Record button and navigate to your scanned completed document (e.g., Immunization records, TB Health Assessment Form, etc).

Does Purdue push cost money?

Students will be charged a $15 co-pay for PUSH ancillary services such as physical therapy and X-ray. Students must pay a $200 deductible for in-network preferred providers and a $400 deductible for out-of-network providers for all services outside of PUSH.

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How do I upload my immunization records to UCR?

Follow this process: Use your NetID and password to log into the patient portal. The Student Immunization Form is found in the patient portal under FORMS. Complete the form by entering the dates of immunizations on your immunization record. Upload a copy of your immunization record where indicated.

How do I get my immunization form signed?

Ask your doctor, pharmacist or other vaccine provider for an immunization record form or download and use this form [4 pages]. Bring this record with you to health visits, and ask your vaccine provider to sign and date the form for each vaccine you receive.

How to submit immunization records to Purdue University?

If youd like to submit immunization dates before classes start, please email shc@purdue.edu.

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How to change Purdue immunization form online

See more purdue immunization form versions

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Got questions?

How to submit immunization records in Purdue?

Do colleges require the Tdap vaccine?

Where are immunization records on MyChart?

How do I submit my immunization records to UCI?

Does Purdue push cost money?

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How do I upload my immunization records to UCR?

How do I get my immunization form signed?

How to submit immunization records to Purdue University?

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