Download Immunization Form PDF - Andrews University - andrews 2026

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  1. Click ‘Get Form’ to open the Download Immunization Form PDF in the editor.
  2. Begin by filling out your personal information. Enter your U.S. Social Security Number, Andrews ID Number, and your full name. Ensure that you provide a legible home address, phone numbers, and email address.
  3. Indicate your gender and birth date. Select your level of study (Undergraduate or Graduate) and anticipated term of enrollment.
  4. Complete the health care provider section regarding required vaccinations for measles, mumps, rubella, and tuberculosis screening. Fill in the dates for each dose received.
  5. For recommended vaccinations, provide details for Tetanus-Diphtheria, Hepatitis B, Varicella, Meningococcus, and Influenza as applicable.
  6. Finally, ensure that the health care provider completes their contact information and signs the form before submission.

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