Meningitis Immunization Requirementwaiver Immunization Form Vaughn College Meningitis Immunization Form - vaughn Preview on Page 1

Meningitis Immunization Requirementwaiver Immunization Form Vaughn College Meningitis Immunization Form - vaughn 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by checking one of the boxes that apply to your vaccination status. If you have received the meningococcal meningitis immunization within the past 10 years, select that option and enter the date received.
  3. If you have not been vaccinated, indicate your understanding of the information regarding meningococcal meningitis disease and your decision to obtain immunization within 30 days from a healthcare provider or Vaughn College.
  4. Alternatively, if you choose not to receive the vaccine, confirm your understanding of the risks involved by selecting that option.
  5. Sign the form at the designated area. If you are a minor, ensure that a parent or guardian signs on your behalf.
  6. Fill in your name, date of birth, email address, mailing address, and phone number in the provided fields for complete identification.

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Related links

Student Handbook 2022-2023

and submit a meningitis Information Response form. For students working in patient care areas where they will be exposed to blood or body fluids, the

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