In PDF form - MU School of Health Professions 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your personal information in the 'Student Information' section. Fill in your full name, student number, phone number, last four digits of your SSN, and date of birth.
3. Indicate your clinical start year and anticipated graduation year by filling in the respective fields.
4. In the 'Health Information History' section, enter the dates for all completed immunizations as required. Ensure you include any optional immunizations if applicable.
5. Attach copies or scans of your original health documents verifying the immunization information. This can be done by uploading files directly through our platform.
6. Complete the authorization section by writing your full name and signing where indicated. Make sure to date your signature.

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