Student immunisation record 2026

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  1. Click ‘Get Form’ to open the student immunisation record in the editor.
  2. Begin by filling out Section 1: Information. Enter your name, student number, date of birth, and contact details accurately.
  3. In Section 2: Evidence of Vaccination/Immunisation, ensure that a Registered Medical Practitioner completes this section. Provide them with any past immunisation records for reference.
  4. For each disease listed, enter the vaccination dates and any serology results as required. Make sure to check if additional evidence is needed for specific placements.
  5. Once completed, review Section 3: Medical Practitioner Declaration. Ensure it is signed and stamped by your medical practitioner.
  6. Finally, read and sign Section 4: Student Declaration to confirm that all information is accurate before submitting the form online via Placements.

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Photocopies of immunization records from a licensed healthcare provider or clinic, or from a California K-12 school uploaded to My Health Portal. All records must show the vaccine type, dose, and date of each shot.
The COVID-19 vaccine is strongly encouraged, but not required, for all students, faculty, staff, and researchers.
If your doctor has proof of your immunization history, this may be your preferred option. If you went to high school in the United States, it is very likely your records are on your high school transcript. If you already have these records, check and see if your immunization history is there!
Most schools keep vaccination records on file. Schools may keep records for a year or two after a student leaves or graduates. Contact your childs school for more information.
Students entering any college or university must show proof of immunity against tetanus, diphtheria, pertussis, MMR, hepatitis B, and varicella. Students in a dormitory or comparable congregate living arrangements must have vaccination against meningococcal.