PRAIRIE VIEW A&M UNIVERSITY Immunization Record - pvamu 2026

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  1. Click ‘Get Form’ to open the PRAIRIE VIEW A&M UNIVERSITY Immunization Record in the editor.
  2. Begin by entering your full name in the designated fields for Last, First, and Middle Initial. Ensure accuracy as this information is crucial for your medical records.
  3. Fill in your Date of Birth (D.O.B) in the specified format. This helps verify your identity and age for immunization requirements.
  4. Proceed to document each immunization received. For each type listed (e.g., Bacterial Meningitis, MMR), enter the date administered and ensure a medical professional's signature is included.
  5. Complete the TB Skin Test section by providing the date and results, along with a signature from a qualified medical professional.
  6. If applicable, fill out the Health Insurance Plan details including Company Name, Subscriber No., Group No., and Employee information.
  7. If you are under 18 years old, ensure that your legal guardian signs at the bottom of the form, along with their printed name and date.

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In the provider portal, you can learn how to enroll in DSHS programs, request immunization records, follow compliance requirements, and more. Need a copy of your or your childs immunization record? Fill out the linked form and submit to ImmTrac2@dshs.texas.gov or mail to the address in the Contact section.
Check with your doctor or public health clinic. Keep in mind that vaccination records are maintained at doctors office for a limited number of years. Contact your states health department. Some states have registries (Immunization Information Systems) that include adult vaccines.
Most schools keep vaccination records on file. Schools may keep records for a year or two after a student leaves or graduates. Contact your childs school for more information.
Bacterial Meningitis vaccination must be received at least 10 days prior to the first day of the semester and must be no more than 5 years old. Vaccinations older than 5 years will require a booster. All documents should include the students name and date of birth.
visits you made to local public health departments or neighborhood clinics. When physicians retire or a medical practice changes hands, old patient records may be sent to a medical record storage company. You may be able to obtain records directly from the company for a fee. baby books and school or camp forms.