Meningococcal Meningitis Vaccine Information Form - fgcu 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering your full name in the designated field at the top of the form. This is essential for identification purposes.
  3. Next, input your FGCU Student ID number and date of birth. Ensure these details are accurate to avoid any processing issues.
  4. In the section regarding vaccination, indicate whether you have received the meningitis vaccine by filling in the date received and providing an office stamp from your healthcare provider.
  5. If you choose to waive the vaccine, sign and date the waiver section. A witness signature is also required for validation.

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How to get the MenACWY vaccine. Teenagers are usually given the MenACWY vaccine at school when theyre 13 or 14 years old (school year 9 or 10). If you missed having the vaccine when you were at school, you can still get it up until the age of 25. Ask your GP about getting vaccinated.
The State University System of Florida, which includes FGCU, requires all students born AFTER 12/31/1956 to upload documented vaccine proof or lab immunity (demonstrated through blood titers) to MMRs, Measles (Rubeola) Mumps and Rubella to their Student Health Portal.
First-time enrollees at California State University and University of California must show proof of hepatitis B vaccine. All institutions with on-campus housing must provide information about meningococcal ACWY and B. Exemptions for personal beliefs are permitted.
Students entering any college or university must show proof of immunity against tetanus, diphtheria, pertussis, MMR, hepatitis B, and varicella. Students in a dormitory or comparable congregate living arrangements must have vaccination against meningococcal.
Take copy of your shot records to your county health department- they will usually sign off on your college paperwork free of charge.

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CDC recommends meningococcal vaccination for all adolescents. CDC also recommends meningococcal vaccination for children and adults at increased risk for meningococcal disease. Follow the recommended immunization schedule to ensure that your patients get the meningococcal vaccines that they need.

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