CERTIFICATE OF REQUIRED IMMUNIZATIONS Country: OR AND 2026

1. Click ‘Get Form’ to open the CERTIFICATE OF REQUIRED IMMUNIZATIONS in the editor.
2. Begin by filling in your personal information, including your Semester, Country of Birth, KSU ID#, Cell Phone #, Email, Name (Last, First, Middle), Address, City, Zip Code, and Birth Date.
3. Next, navigate to the REQUIRED IMMUNIZATIONS section. Here you will need to provide dates for each required immunization listed. Ensure you have documentation ready for any antibody titer lab reports if applicable.
4. Complete the Tuberculosis Risk Assessment by answering all screening questions accurately. If any answers are 'Yes', follow up with the necessary TB skin test or IGRA as indicated.
5. Finally, ensure that a healthcare provider certifies your form by providing their name, signature, phone number, and date. Don’t forget to retain a copy of the completed form for your records.

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