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As a medical student and future member of the

As a medical student and future member of the 2026

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The document is a communication from the Wayne State University School of Medicine outlining the vaccination and immunity documentation requirements for incoming medical students. It emphasizes the importance of providing proof of vaccinations to ensure student and patient safety during clinical rotations. The document details specific vaccines required, deadlines for submission, and instructions for obtaining and submitting health certification forms. Additionally, it includes information on technical standards for medical students and authorization for the release of protected health information.

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How to use or fill out the Health Certification form as a medical student

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Click ‘Get Form’ to open it in our editor.
Begin by entering your WSU Banner ID and personal details, including your name, date of birth, local address, and contact information.
In the Immunizations/Assessment of Immunity section, list the dates of your vaccinations and document any quantitative (IgG) titers for measles, mumps, rubella, varicella, and hepatitis B.
Ensure that your healthcare provider completes the Health Assessment section with their findings and signature.
Sign the Authorization for Release of Immunization/Immunity Testing Records to allow necessary information sharing with clinical facilities.
Review all entries for accuracy before submitting. You can send the completed form via email or fax as specified in the instructions.

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