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Get University Of Hawaii Lcc Health Immunization Clearance Form 2020-2025
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How to fill out the University Of Hawaii LCC Health Immunization Clearance Form online
Completing the University Of Hawaii Leeward Community College Health Immunization Clearance Form online is a straightforward process that ensures you meet health requirements for enrollment. This guide will provide step-by-step instructions to assist you in accurately filling out the form and submitting it.
Follow the steps to complete the Health Immunization Clearance Form online
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- Carefully enter your personal information in the designated fields. This includes your full name (last, first, and middle), mailing address, email address, daytime phone number, and birthdate.
- Complete the tuberculosis clearance requirements section. Ensure that the TB clearance is dated within one year of the semester start date and state that the results were negative. Fill in the date the TB test was given and read, and the results.
- For measles, mumps, and rubella (MMR) clearance, provide proof of two MMR immunizations or other acceptable documentation. Be sure to include the dates of immunizations or attach the required blood test report.
- If applicable, provide any additional physician documentation required for MMR clearance, including dates of treatment.
- Complete the physician's/clinic use section with the printed name, telephone number, and official signature of the healthcare provider, as well as the date of completion.
- Review all entered information for accuracy. Once verified, save changes to the form, and then download, print, or share the completed form as necessary.
Begin filling out your Health Immunization Clearance Form online today.
To submit your immunization records at Cal Poly, visit the Health Services website for detailed instructions. You may need to upload your documents via their online portal or send them via mail. Including the University Of Hawaii LCC Health Immunization Clearance Form with your submission can help ensure compliance with university health requirements.
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