Ggc immunization form 2026

1. Click ‘Get Form’ to open the ggc immunization form in the editor.
2. Begin by filling out the 'STUDENT INFORMATION' section. Enter your Social Security Number or Student ID, full name (last, first, middle), address, city, state, zip code, term/year of application, age at the time of application, and date of birth.
3. Proceed to the 'IMMUNIZATION INFORMATION' section. Here you will need to provide dates for each required vaccine. Ensure you enter the correct dates in MM/DD/YY format for MMR, Measles, Mumps, Rubella, Varicella, Tetanus-Diphtheria, and Hepatitis B.
4. If applicable, check the box for permanent or temporary immunization exemption and provide any necessary details.
5. Complete the 'CERTIFICATION OF HEALTH CARE PROVIDER' section by entering your provider's name and signature along with their address and date of issue.
6. Finally, if claiming an exemption based on religious beliefs, check the appropriate box and sign with the date.

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