Proof immunization 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your personal information in the designated fields: Last Name, First Name, Middle Name, and Semester of Enrollment.
3. Fill out your address details including Street Address, City, State, and Zip Code.
4. Provide your Date of Birth, Gender, and CWID (Campus Wide ID).
5. Enter your Home Phone, Mobile Phone, and E-Mail for contact purposes.
6. The Immunization Requirements section must be completed by a physician. Ensure they fill in the required vaccinations such as MMR, Tetanus-Diphtheria, Meningococcal, and others as applicable.
7. If requesting an exemption for medical or personal reasons, check the appropriate box and provide a detailed reason.
8. Finally, sign the form along with a parent or legal guardian if under 18 years old. Ensure all signatures are dated.

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