George Mason University Student Health Services Allergy Clinic Student Employee Agreement Form 2025

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Call the Immunization Office (703-993-2135) during open hours to schedule an appointment for immunizations.
We provide care for a range of needs, including diagnosing and treating injuries and illness, providing immunizations, managing chronic health concerns, and conducting physical exams. A nurse advice line is available when the clinic is closed, via 703-993-2831.
Failure to pay the deferred balance by the due date will result in financial hold, a late fee of 10% (up to $125), collection activity, and may prevent future eligibility of the payment plan.
Ask your doctor, pharmacist or other vaccine provider for an immunization record form or download and use this form [4 pages]. Bring this record with you to health visits, and ask your vaccine provider to sign and date the form for each vaccine you receive.
Student Health Email For non-urgent or general information, you may email shsinfo@gmu.edu.
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Immunization Submission Submit the Mason Immunization Record Form to the Immunization Office through the secure, online patient portal or by mail. Submission details are on the form. Students must complete student sections and a health care provider must complete the remaining sections of the Immunization Record Form.
Late Fee and Account Holds If immunization records or documentation is incomplete after the appropriate semester deadline, students will be assessed a $50 late fee. Late fees will be applied the day after the Last Day to Drop with 100% Tuition Refund for the full semester per the Registrars calendar.

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