Charleston southern university immunization form 2026

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  1. Click ‘Get Form’ to open the Charleston Southern University Immunization Form in our editor.
  2. Begin by entering your full name and student ID number in the designated fields at the top of the form.
  3. Fill in your date of birth in the specified format. Ensure accuracy as this information is crucial for your records.
  4. Complete the required immunization sections, including M.M.R., Tetanus-Diphtheria, Hepatitis B, and Tuberculosis Screening. For each immunization, enter the dates of doses received.
  5. If applicable, provide results for Tuberculosis screening and any necessary chest X-ray results if PPD is positive.
  6. For optional immunizations like Influenza and Meningococcal, fill in the dates as recommended.
  7. Finally, ensure that a licensed health care provider completes and signs the certification section before submitting your form.

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Vaccination records (sometimes called immunization records) provide a history of all the vaccines you or your child received. This record may be required for certain jobs, travel abroad, or school registration.
The document is a Student Immunization Record required by Charleston Southern University for residence hall assignment. It outlines mandatory immunizations, including M.M.R., Hepatitis B, Tetanus-Diphtheria, Varicella, MCV4, HPV, COVID-19, and Influenza, along with their required doses and documentation.
How do I locate my immunization record? Visit the SIMON public portal to get your shot records, or contact your local health department or immunization provider.
People who receive immunizations from South Carolina providers can access their immunization record through the SIMON public portal.
Ask your doctor, pharmacist or other vaccine provider for an immunization record form or download and use this form [4 pages]. Bring this record with you to health visits, and ask your vaccine provider to sign and date the form for each vaccine you receive.

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Should students or student health offices complete the form? Students should complete the AAMC Standardized Immunization Form in conjunction with either the student health office at their medical school or with their primary care provider.
Check with your high school and/or college health services for dates of any immunizations. Keep in mind that generally records are kept only for 1-2 years after students leave the system.

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