DocHub iacuc forms 2025

1. Click ‘Get Form’ to open the IACUC Form 3 in our editor.
2. Begin by entering your name and University ID in the designated fields at the top of the form.
3. In Section 1, provide a recent medical/health history evaluation date, focusing on your immune system status and any current infections.
4. For Section 2, input the date of your tuberculosis (TB) evaluation, including skin test or chest X-ray results.
5. In Section 3, enter the date of your most recent tetanus immunization.
6. If applicable, fill out any special requirements in Section 4. If none are needed, you can leave this blank.
7. Once completed, take this form to the UTB Student Health Services Center or a private healthcare provider for verification.
8. Ensure that a healthcare professional signs and dates the form to confirm completion of health assessments.
9. If you choose to decline participation in the health program, check and sign the declination statement at the bottom of the form.
10. Finally, return the completed form to the UTB Vivarium Coordinator as instructed.

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