Printable immunization records 2026

1. Click ‘Get Form’ to open the printable immunization records in the editor.
2. Begin by filling in your personal information at the top of the form, including your name, date of birth, home phone number, SAIC email address, and student ID number.
3. Review the authorization section and provide your signature along with the date to allow the release of your immunization record.
4. Complete the required immunizations sections based on your status (International Student or U.S. Citizen). Fill in the dates for each immunization received.
5. If applicable, complete Sections 3 or 4 for MMR vaccinations. Ensure you include all necessary dates and any lab evidence if required.
6. For recommended immunizations in Section 5, fill out any that you have received, noting their dates as well.
7. Finally, have a healthcare provider sign and stamp the form to verify all provided information before submission.

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