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How to use or fill out the Proof of Immunization Compliance Form with our platform
- Click ‘Get Form’ to open it in the editor.
- Begin by entering your Social Security Number and Date of Birth in the designated fields. Ensure accuracy as this information is crucial for your records.
- Next, fill in your full name (Last, First, Middle) and address details including City, State, and ZIP Code. This helps the university identify you correctly.
- Proceed to the 'University Required Immunizations' section. Indicate your vaccination status for M-M-R (Measles, Mumps, Rubella) and Tetanus-Diphtheria by providing dates and results where applicable.
- For the Meningococcal Vaccine, enter the date received and type of vaccine. If you are requesting an exemption, ensure to check the appropriate box and provide a reason.
- Finally, have your physician or health care provider sign and date the form. Make sure their office address or stamp is included for verification.
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