Utsa meningitis vaccine form 2026

The document is a Meningococcal Meningitis Vaccine Requirement Form for students at the University of Texas at San Antonio (UTSA). It outlines the necessity for students to provide proof of vaccination against bacterial meningitis before completing their registration. The form includes sections for personal information, immunization documentation, and waiver options for those who cannot receive the vaccine. Additionally, it provides information about meningococcal disease, its risks, and Texas state immunization requirements.

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Click ‘Get Form’ to open it in the editor.
Begin with Section A, where you will enter your myUTSA ID, name, birth date, and contact information. Ensure all fields are filled accurately.
In Section B, select the appropriate documentation for your meningitis immunization. You can either upload your official immunization record or have a licensed health care provider certify your vaccination.
If applicable, complete Section C regarding waiver status. Choose the appropriate option and ensure any required affidavits are attached.
Finally, sign and date the form at the bottom. If you are under 18, a parent or guardian must also sign.

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What is a meningitis waiver?

Individuals 18 years of age and older may sign a written waiver choosing not to be vaccinated against meningococcal disease after reviewing the information on the risks of meningococcal disease, the availability of the vaccine, and effectiveness of the vaccine.

How to get a copy of meningitis vaccine?

call the CDC Information Contact Center at 800-CDC- INFO (232-4636). Congratulations! Now you should take the records to your provider or local public health clinic and ask them to document this information on an official record, and, if possible, in the state or local immunization registry.

Where can I get a meningitis certificate?

Meningitis ACWY vaccination service at your local pharmacy Book an appointment for a consultation with your local pharmacist. If you are planning a trip to Saudi Arabia for Hajj/Umrah, or for any other reason, you need to provide proof of a meningitis ACWY vaccination to be allowed into the country.

Does UTSA require meningitis vaccine?

UTSA requires you to submit proof of your meningitis immunization to Med+Proctor in order to become medically compliant. Please follow the instructions below in order to complete this requirement.

Is meningitis vaccine mandatory in Texas?

A Texas State law states ALL new students under the age of 22 must show proof of meningococcal vaccination within the last 5 years and at least 10 days prior to the first class day.