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Bhcc immunization form

Bhcc immunization record 2025

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The document outlines the immunization requirements for students at Bunker Hill Community College in accordance with Massachusetts law. It specifies that full-time students and those in health professions programs must submit their immunization records within 30 days of registration. The form includes sections for personal information, verification of immunizations, exemptions, and required vaccinations such as MMR, Tdap, Hepatitis B, and Varicella. It also emphasizes the importance of compliance with state regulations and provides instructions for documentation.

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Click ‘Get Form’ to open the bhcc immunization record in the editor.
Begin by entering today’s date and your Social Security number or Student ID at the top of the form.
Fill in your last name, first name, date of birth, and program of study in the designated fields.
Select one of the categories regarding your immunization status and provide any required verification documents as indicated.
Complete the required immunizations section by entering dates for each vaccine received, ensuring all necessary doses are documented.
If applicable, include any positive titer results or exemptions and ensure a physician or registered nurse signs off on the documentation.
Finally, sign and date the form at the bottom to authorize the release of your immunization information.

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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

How can I get my old immunization records?

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.

Where are immunization records on MyChart?

Check with your high school and/or college health services for dates of any immunizations. Keep in mind that generally records are kept only for 1-2 years after students leave the system.

Can you get immunization records from Mychart?

Every state in the U.S., and some large cities, have their own IIS. All states collect data on child vaccinations to put into the IIS (though the cut-off age varies by state) and most states now also record adult immunizations in their IIS.

What is the app that finds immunization records?

Go to My Record Health Summary and select the Immunizations tab. You can see the immunizations youve received and the dates on which you received them. Click the immunization name to learn more. If your immunizations are not up to date, please reach out to your clinic directly to have your information updated.

How can I find my old immunization records?

Docket - Immunization Records on the App Store.

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Does my college have my immunization records?

To withdraw from the semester or College, you must complete and submit a withdrawal form available on the myBHCC student self service portal. If you withdraw from the semester or the College, you will receive a W grade for all courses that semester on your transcript.