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Get Mandatory Immunization Form - Gwu
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How to fill out the MANDATORY IMMUNIZATION FORM - Gwu online
Completing the Mandatory Immunization Form for George Washington University is an essential step for ensuring your registration. This guide provides clear, step-by-step instructions to help you efficiently fill out the form online.
Follow the steps to complete the form correctly.
- Click the ‘Get Form’ button to access the Mandatory Immunization Form. This button will direct you to the form for online completion.
- Fill in your personal information at the top of the form, including your last name, first name, GWID, email address, contact phone number, date of birth in MM/DD/YYYY format, and the semester/year of your first admission.
- For each required immunization, consult with your health care provider to have them fill in the specific dates of your vaccinations. Ensure that the dates comply with the requirements listed beside each vaccination.
- If applicable, indicate your history of disease for Varicella (Chickenpox) and provide the date along with your health care provider's signature in the specified fields.
- For the Meningococcal Vaccine section, choose the appropriate vaccine type and provide the date of administration. If you prefer to submit a waiver, ensure to check the box and follow the waiver instructions provided.
- Once all sections are complete, ensure that your health care provider signs the form and adds their stamp if required.
- Review all information for accuracy, then save your changes, download a copy of the completed form, and keep it for your records. You may also print the form or share it as needed.
Complete your Mandatory Immunization Form online today to ensure a smooth registration process.
Immunization Requirements 2022-2023 4 doses - Diphtheria/Tetanus/Pertussis (DTaP) 3 doses - Polio. 1 dose - Varicella (chickenpox) 1 dose - Measles/Mumps/Rubella (MMR) 3 doses - Hepatitis B. 2 doses - Hepatitis A. 3 or 4 doses - Hib.
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