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Final draft Immun form 06-13.docx

Final draft Immun form 06-13.docx 2026

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The document outlines the immunization compliance requirements for students enrolling at Louisiana State University (LSU), detailing necessary vaccinations such as MMR, Tetanus-Diphtheria, and Meningitis. It includes sections for personal information, vaccination records to be completed by a healthcare provider, and a tuberculosis questionnaire. Additionally, it provides options for requesting exemptions from immunizations and emphasizes that students must meet these requirements to pay university fees.

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Click ‘Get Form’ to open the final draft Immun form 06-13.docx in our platform.
Begin by filling in your personal information at the top of the form, including your name, semester of enrollment, address, email, date of birth, LSU ID number, and telephone number.
Complete the immunization requirements section. Enter the dates for your MMR and Tetanus-Diphtheria vaccinations as required. Ensure that a healthcare provider fills out this section accurately.
If applicable, check the box for an immunization exemption and provide any necessary details in the space provided.
Review the tuberculosis questionnaire carefully. Answer each question truthfully and ensure that any required tests are documented correctly.
Finally, have your healthcare provider sign and date the form before submitting it to ensure compliance with university requirements.

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