Shc siu commonpdfsIMMUNIZATION COMPLIANCE FORM 2026

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  1. Click ‘Get Form’ to open the Immunization Compliance Form in the editor.
  2. Begin by filling out the STUDENT INFORMATION section. Enter your First Name, Last Name, Date of Birth, Age, and MI. Make sure to include your Dawg Tag # and the Term Entering SIU.
  3. Provide your complete Address, City, State, and Zip Code. Select your preferred method of contact by checking the appropriate box for Phone, Email, or Text.
  4. For international students, note that Tuberculosis screening will be conducted upon arrival. Ensure you list your Country of Origin.
  5. In the REQUIRED IMMUNIZATIONS section, have a healthcare provider complete this part. They will need to document all necessary vaccinations and dates.
  6. Attach any required immunization records as specified in the form instructions before submitting it via fax, email, or mail.

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On the other hand, one should never underestimate or neglect the importance of vaccination adherence to schedule (compliance or timeliness to childhood vaccination schedule) which is the timely administration of a specific vaccination according to the immunization schedule.
Take copy of your shot records to your county health department- they will usually sign off on your college paperwork free of charge.
Instructions for uploading immunizations: Step 1: Go to .myuhc.umd.edu Step 2: Enter your directory ID and password to log on, then enter your UID (University ID) in the box and hit ENTER Step 3: Click on Required Immunizations and Forms (on the left hand side of the page) Step 4: Carefully enter your immunization

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Using your UW user name and password login to the Patient Portal and enter your MMR dates or titer results under the Immunizations tab. Enter other immunizations and dates under the recommended section. Hit the Submit key when you have entered all your immunization information.
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.
Select each immunization to review requirements. Hepatitis B. A student must provide documentation of the completed dose series to be considered immune to Hepatitis B. Meningococcal. MMR. Poliomyelitis. Tetanus/Diphtheria. Tuberculosis.
Two ways to submit the Certificate of Immunization and supporting documentation: Upload to the online patient portal (preferred method). Click here for portal upload instructions. Or, mail to Immunization Office, 4400 University Drive, MS 2D3, Fairfax VA, 22030.