Ggc immunization form 2026

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The document is an Immunization Record Request Form for Georgia Gwinnett College, outlining the policy for retaining immunization records for two years, the process for requesting copies at no charge, and the requirement of the student's signature. It includes fields for personal information and options for receiving the records.

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Click ‘Get Form’ to open the ggc immunization form in the editor.
Begin by entering your Last Name and First Name in the designated fields. Ensure accuracy for proper identification.
Fill in your Date of Birth, and if applicable, include any Maiden/Other Names that differ from your current name.
Provide your Phone number and complete your Address, including City, State, and Zip code for correspondence.
Enter your Student ID number and the Last Term you attended to help verify your records.
Select how you would like to receive your immunization records by checking the appropriate boxes: pick up, mail, or fax. If mailing or faxing, provide the necessary details.
Sign and date the form at the bottom. Remember, it is not valid without your signature.

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