Immunization Compliance Form - Louisiana State University 2026

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4.7 out of 5

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The document outlines the proof of immunization compliance requirements for students at Louisiana State University (LSU), detailing necessary vaccinations, tuberculosis (TB) screening procedures, and submission guidelines. It includes sections for personal information, vaccination history, and a TB questionnaire. Students must complete these requirements to register for classes and can submit documentation electronically or in person.

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Click ‘Get Form’ to open the Immunization Compliance Form in the editor.
Begin by filling in your personal information, including your name, semester of enrollment, address, email, date of birth, and LSU ID number. Ensure all details are accurate and clearly printed.
Complete the vaccination details section. Enter the dates for your MMR vaccinations and indicate if you have received Tetanus and Meningitis vaccines. If applicable, provide a copy of serology test results.
Answer the Tuberculosis (TB) Questionnaire honestly. If you answer 'Yes' to any question, follow the outlined steps for TB testing as required.
Once all sections are completed, review your form for accuracy. Use our platform's features to save or print your document as needed.
Submit your completed form electronically via the Student Health Center Patient Portal or through other submission methods provided on the form.

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Versions	Form popularity	Fillable & printable
2022	4.7 Satisfied (54 Votes)
2013	4 Satisfied (50 Votes)

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How to fax immunization records?

Heres how: Create a confidential fax cover letter and print it out. Print the medical records. Enter the receiving fax phone number into your fax machine. Feed the fax documents into the machine, starting with the cover sheet. Send the fax. Wait for the delivery confirmation fax or alert.

What immunizations are required for LSU?

Submit your immunization records To safeguard the health of the LSU community, all new students are required to provide proof of immunization against measles, mumps and rubella (MMR), tetanus-diptheria, and meningitis. You must complete and submit the Immunization Compliance form to the LSU Student Health Center.

Do you have to submit immunization records for college?

Exemption is permitted with proof of immunity, non-medical exemption or birth before 1957. First-time enrollees at California State University and University of California must show proof of hepatitis B vaccine. All institutions with on-campus housing must provide information about meningococcal ACWY and B.

How do I get my immunization form for college?

Take copy of your shot records to your county health department- they will usually sign off on your college paperwork free of charge.

How to share immunization records?

How do I share my record with someone other than my provider? Request a formal copy of your health record to share with non-healthcare organizations and with your providers. You can decide to send only some of your health information, like immunizations and medications, or all your information.

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How to submit immunization records to LSU?

The completed form can also be submitted in person, by mail, by fax or by email to: LSU Student Health Center. Email: immunization@lsu.edu. Immunization Desk. Fax: (888) 837-2607. 16 Infirmary Lane. Telephone: (225) 578-0593. Baton Rouge, LA 70803.

How do I get my immunization records in Louisiana?

How can I get my vaccination records? There are several options for requesting vaccination records in Louisiana: MyIR. Register for MyIRMobile Website. Ask a Provider. Ask your healthcare provider for a copy. Ask a Parish Health Unit. Ask your local Parish Health Unit (PHU) for a copy.

Immunization Compliance Form - Louisiana State University 2026

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