Proof immunization 2025

1. Click ‘Get Form’ to open the proof immunization document in the editor.
2. Begin by entering your personal information in the designated fields: Last Name, First Name, Middle Name, and Semester of Enrollment. Ensure all entries are legible.
3. Fill in your Address, City, State, and Zip Code accurately to avoid any processing issues.
4. Provide your Date of Birth, Gender, and CWID (Campus Wide ID) in the respective fields.
5. Enter your Home Phone, Mobile Phone, and E-Mail address for contact purposes.
6. The Immunization Requirements section must be completed by a physician or health care provider. Ensure they fill out the required vaccinations and dates accurately.
7. If applicable, check the box for an immunization exemption and provide a reason. Make sure to include any necessary documentation if claiming medical exemption.
8. Sign and date the form at the bottom. If under 18, ensure a parent or legal guardian also signs.

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