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Drexel immunization form

Drexel immunization records form 2026

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The document is an Immunization Record form required for students at Drexel University. It outlines the necessary immunizations, processing fees, and documentation needed for enrollment, including details on vaccines such as MMR, Hepatitis B, Tdap, Tuberculosis testing, Varicella, and Meningococcal for those living in university housing. It also includes sections for student information and healthcare provider verification.

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Click ‘Get Form’ to open the Drexel Immunization Records form in the editor.
Begin with Part I, where you will need to print your name, address, and student identification number clearly. Ensure all fields are filled out completely.
Next, indicate your date of entry into Drexel and date of birth in the specified MM/DD/YY format. Select whether you are living in university housing or commuting.
In Part II, have your healthcare provider complete and sign the required vaccinations section. Fill in dates for MMR, Measles, Rubella, Mumps, Hepatitis B, Tdap, Tuberculosis tests, and Varicella as applicable.
For students living in university housing, ensure that Part III is completed regarding the Meningococcal vaccine. In Part IV, consider documenting your annual influenza vaccination.
Finally, provide your healthcare provider's information in Part V and ensure their signature is included before submitting the form.

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Versions	Form popularity	Fillable & printable
2018	4.8 Satisfied (112 Votes)
2016	4.1 Satisfied (54 Votes)
2012	4.3 Satisfied (61 Votes)

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How to submit immunization records to Drexel University?

Once you have completed the immunization record form, submit it to the Drexel University Health Services either by email at healthservices@drexel.edu or by fax at (123) 456-7890. You can also bring a physical copy to the Health Services office located at 123 College Ave, Philadelphia, PA.

How to submit immunization records to UNR?

Submit your official immunization records You may also hand-deliver immunization records to the Office of Admissions and Records, located in the Fitzgerald Student Services building on the second floor. You may fax immunization records to (775) 784-4283. You may email immunization records to mynevada@unr.edu.

How to send immunization records to ASU?

Step 1: Log into Health Portal. . Step 2: Select Medical Clearances on the left. Step 3: Enter Measles/M.M.R. Information. Step 4: Upload Immunization Record. Step 5: Allow 3 business days for review and processing.

Can you email immunization records?

The answer is yes; you can email medical records securely, but only when the email itself is HIPAA compliant. So, if youre wondering whether email is HIPAA compliant, the answer is also yes, but with a condition.

Do you have to submit immunization records for college?

Exemption is permitted with proof of immunity, non-medical exemption or birth before 1957. First-time enrollees at California State University and University of California must show proof of hepatitis B vaccine. All institutions with on-campus housing must provide information about meningococcal ACWY and B.

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How much is the Drexel immunization processing fee?

All students must pay a $35.00 processing fee regardless of where immunizations are received. This fee will be posted in the students bill. Please make a copy of this form for your records before returning it to Drexel University.

Can I get a copy of my immunization records online on mychart?

Go to My Record Health Summary and select the Immunizations tab. You can see the immunizations youve received and the dates on which you received them. Click the immunization name to learn more. If your immunizations are not up to date, please docHub out to your clinic directly to have your information updated.

Drexel immunization records form 2026

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