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Get Immunization Form - Unmc - Unmc
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How to fill out the Immunization Form - UNMC - Unmc online
Filling out the Immunization Form is an essential step for students at the University of Nebraska Medical Center. This guide will help you navigate the process smoothly, ensuring that all necessary information is accurately provided.
Follow the steps to complete the form effectively.
- Click ‘Get Form’ button to obtain the form and open it in your preferred editor.
- Identify your campus by checking the appropriate box — Lincoln, Kearney, Scottsbluff, Omaha, Norfolk, or Gering.
- Enter your last name, first name, and middle initial in the designated fields.
- Provide your permanent address, including city, state, zip code, and phone number.
- Select your program, and then enter required immunization information as follows: - For MMR (measles, mumps, rubella), provide evidence of 2 doses or immunity through an antibody titer. - For Varicella (chicken pox), provide evidence of 2 doses or immunity with a titer. - Document Tdap evidence post-18th birthday and any Td booster if needed.
- Complete the Tuberculosis screening section by indicating results of skin tests or necessary titer results as outlined in the form.
- Fill in the Hepatitis B vaccination details, ensuring all required doses and titer information are accounted for.
- If you are a nursing student, ensure to check flu vaccine requirements and provide relevant dates.
- Sign the form, confirming accuracy, and provide your health care provider's signature and credentials if applicable.
- Lastly, ensure both sides of the form are completed, and then scan it. You can email, fax, or mail the form to UNMC Student Health. Make sure to keep a copy for your records.
Begin your document submission today and ensure your immunization records are complete.
Vaccine documentation refers to the comprehensive records that verify the immunizations a person has received. This documentation typically includes information such as the type of vaccine, administration dates, and health provider details. Using the Immunization Form - UNMC - Unmc is highly recommended to keep your records organized and ensure you meet any necessary health requirements for schools or employers.
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