Download Required Immunization Form (Word) - graduate studies at 2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your personal information, including your name and date of birth, in the designated fields at the top of the form.
3. Complete the Required Immunizations section. For each immunization listed, enter the dates for each dose received. Ensure you follow the specified intervals between doses as indicated.
4. If applicable, check any boxes for alternative documentation such as immune serology or lab documentation attached.
5. Fill out the Tuberculosis Risk Questionnaire by answering all questions truthfully. If you answer 'yes' to any question, ensure your healthcare provider completes the necessary sections.
6. Finally, have your healthcare provider complete their section, including their signature and contact information before submitting the form.

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