Immunization form - Student Health Centers - Mercer University 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your personal information at the top of the form, including your name, student ID number, and date of birth. Ensure accuracy as this information is crucial for your health records.
3. Fill in your home address and emergency contact details. This section is important for communication regarding your health status.
4. If you are under 18, a parent or guardian must provide consent for medical care. Make sure they sign and date the consent section.
5. Complete the health insurance acknowledgment section by reading the requirements carefully and signing where indicated.
6. Provide documentation of required immunizations. Attach copies of official records showing dates of vaccinations or lab reports as specified.
7. Proceed to the Tuberculosis Screening Questionnaire on page two. Answer all questions honestly and sign at the bottom.
8. Once all sections are completed, review your form for any errors before submitting it via mail, fax, or email as instructed.

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