THE UNIVERSITY OF MISSISSIPPI Certificate of Compliance To be completed 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering your date of birth (DOB) and full name at the top of the form.
  3. Fill in the details for your first and second MMR vaccinations, including month, day, and year.
  4. If applicable, provide information for Rubeola, Mumps, and Rubella vaccinations by filling in the respective dates.
  5. Indicate if you are providing proof of immunity through blood testing or medical records by checking the appropriate boxes.
  6. Complete any additional recommended immunizations section with relevant dates.
  7. Ensure that a physician or authorized health care provider signs the document and includes their office stamp with address.
  8. Once complete, upload this form to Med+Proctor as instructed or return it to The University of Mississippi Health Service.

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