Proof of immunization form 2026

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  1. Click ‘Get Form’ to open the proof of immunization form in the editor.
  2. Begin by filling in your personal information at the top, including your name, semester of enrollment, address, email, date of birth, LSU ID number, and telephone number.
  3. Next, move to the immunization requirements section. Ensure that a physician or health care provider completes this part. Input the dates for each required vaccine dose as specified.
  4. If applicable, check the box for any immunization exemptions and provide necessary details in the space provided.
  5. Complete the tuberculosis questionnaire by answering all questions honestly. If you answer 'YES' to any question, follow up with the required tests and document results.
  6. Finally, ensure that both you and your parent or legal guardian sign where indicated before submitting the form.

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2022 4.7 Satisfied (54 Votes)
2013 4 Satisfied (50 Votes)
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