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Certificate of Compliance - Health Center - University of Mississippi - healthcenter olemiss 2026
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- Click ‘Get Form’ to open it in the editor.
- Begin by entering your name in the designated fields: Last, First, and Middle. Ensure accuracy as this information is crucial for identification.
- Input your Social Security Number and Date of Birth in the respective fields. This information is necessary for verification purposes.
- Fill out the vaccination history section. Enter the dates for your first and second MMR vaccinations, or provide details for individual vaccines (Rubeola, Rubella, Mumps) if applicable.
- If you are providing proof of immunity through serologic testing or previous infections, attach copies of lab results or office records as required.
- Complete the section regarding other recommended immunizations by entering the last dates for DT/DTaP, Polio, Hepatitis B Series, Meningitis, and Varicella.
- Ensure that all documentation is signed by a physician or authorized health care provider and includes their office stamp with address.
- Finally, return the completed form to The University of Mississippi Student Health Service at the provided address.
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| Versions | Form popularity | Fillable & printable |
|---|---|---|
| 2025 | 4 Satisfied (34 Votes) | |
| 2025 | 4.8 Satisfied (31 Votes) | |
| 2025 | 4.3 Satisfied (34 Votes) | |
| 2025 | 4.2 Satisfied (34 Votes) | |
| 2025 | 4.6 Satisfied (55 Votes) | |
| 2025 | 4.5 Satisfied (44 Votes) | |
| 2025 | 4.2 Satisfied (37 Votes) | |
| 2025 | 4.7 Satisfied (34 Votes) | |
| 2024 | 4.3 Satisfied (21 Votes) | |
| 2024 | 4.6 Satisfied (51 Votes) | |
| 2024 | 4.5 Satisfied (23 Votes) | |
| 2024 | 4.8 Satisfied (29 Votes) | |
| 2024 | 4.1 Satisfied (28 Votes) | |
| 2024 | 4.9 Satisfied (51 Votes) | |
| 2024 | 4.4 Satisfied (31 Votes) |
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