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Student Health Service Flu Vaccination Consent and Release Form - uab

Student Health Service Flu Vaccination Consent and Release Form - uab 2025

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The document is a consent and release form for students and faculty at the University of Alabama at Birmingham (UAB) to receive flu vaccinations at a designated clinic. It outlines the date, time, fees, and responsibilities of recipients, including the need to consult with a primary care physician before vaccination. The form emphasizes the importance of monitoring for adverse reactions post-vaccination and includes a consent section where individuals acknowledge understanding the risks and benefits associated with the flu vaccine.

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What vaccines are required for University of Alabama?

All incoming students, regardless of classification, must have the following vaccinations: Meningitis Vaccine One dose at age 16 or older. Two Measles Containing Vaccines One must be a MMR vaccination after 1980. Tuberculosis Screening Within one year.

How do you submit your proof of health insurance and immunizations to UAB?

Submit Your Immunizations At UAB, all students have a Patient Portal to house (online only) records of healthcare info, including immunizations. Youre required to upload proof of these immunizations to your Patient Portal (instructions at .uab.edu/newstudentshots).

How to document flu vaccine administration?

Job Aid Date of administration. Vaccine manufacturer. Vaccine lot number. Name and title of the person who administered the vaccine and address of the facility where the permanent record will reside. Vaccine information statement (VIS) Date printed on the VIS. Date the VIS was given to the patient or parent/guardian.

What immunizations are required for UAB?

Immunization Requirements I. MMR (Measles, Mumps, Rubella) II. Tdap (Tetanus, Diphtheria, Acellular Pertussis) III. Hepatitis B Series and Hepatitis B Titer. IV. Varicella (Chickenpox/Shingles) V. Meningococcal ACWY. VI. Seasonal Influenza Vaccine. VII. Tuberculosis Screening.

How do you submit your proof of health insurance and immunizations at UAB?

Update Immunizations The students would need to upload this document onto Blazernet via the Patient Portal. Students with any further questions can contact the Student Health Services for additional assistance.

How much is UAB student health insurance?

Mandatory Coverage DatesAnnual 8/15/24 to 8/14/25Spring/Summer 1/1/25 to 8/14/25 Student $3,126.00 $1,936.00 Spouse $6,834.00 $4,231.00 One Child $6,834.00 $4,231.00

Which of the following immunizations must all first time entering students show proof of check all that apply?

Students entering any college or university must show proof of immunity against tetanus, diphtheria, pertussis, MMR, hepatitis B, and varicella.

Student Health Service Flu Vaccination Consent and Release Form - uab 2025

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What vaccines are required for University of Alabama?

How do you submit your proof of health insurance and immunizations to UAB?

How to document flu vaccine administration?

What immunizations are required for UAB?

How do you submit your proof of health insurance and immunizations at UAB?

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How much is UAB student health insurance?

Which of the following immunizations must all first time entering students show proof of check all that apply?

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Student Health Service Flu Vaccination Consent and Release Form - uab 2025

Here's how it works

How to rapidly redact Student Health Service Flu Vaccination Consent and Release Form - uab online

Complete this form in 5 minutes or less

Got questions?

What vaccines are required for University of Alabama?

How do you submit your proof of health insurance and immunizations to UAB?

How to document flu vaccine administration?

What immunizations are required for UAB?

How do you submit your proof of health insurance and immunizations at UAB?

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People also ask

How much is UAB student health insurance?

Which of the following immunizations must all first time entering students show proof of check all that apply?

Related links

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