Florida atlantic university immunization 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering your personal information at the top of the form, including your name, student ID number, birth date, and contact details.
  3. In Section A, provide documentation for required immunizations if you were born after December 31, 1956. Fill in the dates for each vaccine received.
  4. Section B requires you to acknowledge understanding of meningococcal meningitis and hepatitis B risks. You can either document vaccinations or sign a waiver.
  5. Complete Section C with any recommended immunizations and their respective dates. Ensure all fields are filled accurately.
  6. Finally, obtain a mandatory signature from a physician or authorized person and ensure an office stamp is included for validation.

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Documentation of rubella (German measles) and rubella (red measles) immunization. Documentation of Hepatitis B immunization or the required waiver form. Documentation of date of chicken pox or titer results. If negative, varicella immunization is strongly recommended.
Student Profile 2024 Spring/SummerFall GPA* 3.33-4.0 3.73-4.34 SAT 1030-1190 1090-1270 ACT 20-24 22-28 CLT 7690 76-90
Kindergarten through 12th Grade Four or five doses of DTaP. Four or five doses of IPV. Two doses of MMR. Three doses of Hep B. One Tetanus-diphtheria-acellular pertussis (Tdap) Two doses of Varicella (kindergarten effective with 20082009 school year, then an additional grade is added each year thereafter).
You can request your vaccination records directly from Florida SHOTS by filling out the Florida Department of Health form DH3203 Authorization to Disclose Confidential Information form online, electronically sign and submit it. Request your vaccination records.
Documentation of adult diphtheria-tetanus (Tdap) immunization within the past ten years. Documentation of rubella (German measles) and rubella (red measles) immunization. Documentation of Hepatitis B immunization or the required waiver form. Documentation of date of chicken pox or titer results.

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requirements, there are no comprehensive statewide immunization requirements. Most requirements are made at the university or system level. Immunization requirements differ between colleges and universities. Protocols for collection and verification of records and enforcement also differ.

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