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Proof-of-Immunization-Compliance- 2026

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  1. Click ‘Get Form’ to open the Proof-of-Immunization-Compliance- in the editor.
  2. Begin by completing the student information section. Fill in your MSU ID or Social Security Number, last name, first name, birthdate, and contact details including phone number and email address.
  3. Indicate the semester and year you are applying for admission by selecting from Fall, Spring, or Summer options.
  4. In the immunizations section, have your physician or healthcare provider complete the required fields regarding vaccination dates for DTP/Td, MMR, and meningococcal vaccines.
  5. If you cannot provide records for certain vaccinations, complete the waiver section on the back of the form. Ensure that both you and a parent/guardian sign if under 18.
  6. Finally, review all entries for accuracy before submitting your completed application via email or mail as specified.

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proof immunization compliance form

Human Practices | UChicago - iGEM 2024

We initially considered an oral formulation to improve immunization compliance in children, but this is not possible with VLP technology.

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Form 121 (Immunization Compliance) and Exemptions

Form 121 certifies that required immunizations have been received. Form 122 certifies that a child is exempt from required immunizations.

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PROOF OF IMMUNIZATION COMPLIANCE

You are not compliant with the immunization requirements until we receive proof of required immunizations and a completed Tuberculosis (TB) Questionnaire.

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