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Seton hill meningitis immunization 2025

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The document is a Meningitis Immunization Form for Seton Hill University, outlining the requirements for college freshmen dormitory residents regarding meningococcal vaccination. It emphasizes the importance of vaccination as recommended by health authorities and provides sections for confirmation of immunization or exemption based on religious or moral grounds.

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Click ‘Get Form’ to open it in the editor.
Begin by filling out the top half of the form. Enter your name, date of birth, and address clearly in the designated fields.
Provide your telephone number and, if you are under 18, include your parent or guardian's name in the appropriate section.
In the 'Confirmation of Immunization' section, ensure that your physician fills out the date given, their name, and signature. If applicable, attach a copy of the receipt from your doctor confirming vaccination.
If you are requesting an exemption from vaccination, complete that section by signing and dating it. Make sure to read and understand the information provided regarding meningococcal disease.
Review all entries for accuracy before saving or printing your completed form.

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