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Bacterial Meningitis Vaccination form - The University of Texas at - utdallas 2026
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- Click ‘Get Form’ to open it in the editor.
- Begin by filling out Section A. Enter your UTD I.D. number, name (last, first, middle), and student status by checking the appropriate box.
- Provide your address, birth date, phone number, and email. Ensure all information is accurate and legible.
- If you are under 18, complete the Parental/Representative Permit section by having a parent or guardian print their name, sign, and indicate their relationship to you.
- In Section B, document your meningitis immunization details. Include the date of vaccination and check any applicable boxes regarding included documentation.
- If opting for a waiver in Section C, review the information on the reverse side of the form and provide your signature along with any required documentation.
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Related links
Bacterial Meningitis Vaccine Requirement. All entering students under the age of 22 enrolling at a Texas college or university must show proof of a bacterialRead more
To request a mailed Immunization Exemption Affidavit Form, submit your information below. Texas DSHS staff continue to process conscientious exemption requests.Read more