Drexel immunization records form 2025

1. Click ‘Get Form’ to open the Drexel Immunization Records form in the editor.
2. 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.
3. 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.
4. 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.
5. 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.
6. Finally, provide your healthcare provider's information in Part V and ensure their signature is included before submitting the form.

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