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  • Fgcu 2020 Immunization Form

Get Fgcu 2020 Immunization Form

Florida Gulf Coast University Student Health Services (239) 590-1254 phone (239) 590-7968 fax Mandatory Immunization History Form **Please allow 24-48 hours to be processed.** Name: Last University.

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How to fill out the Fgcu 2020 Immunization Form online

This guide provides step-by-step instructions on how to complete the Fgcu 2020 Immunization Form online. Ensuring accurate submission of this form is critical for meeting the immunization requirements at Florida Gulf Coast University.

Follow the steps to successfully complete your immunization form online.

  1. Press the ‘Get Form’ button to obtain the immunization form and launch it in your preferred editing tool.
  2. Begin by filling in your personal details at the top of the form. Include your last name, first name, middle initial, university ID number, date of birth, age, permanent address, city, state, zip code, and phone number.
  3. Proceed to the vaccination history section. Record the dates for the required vaccinations including Measles, Mumps, Rubella, Hepatitis B, and Meningococcal. Ensure the dates are in the correct Month/Day/Year format.
  4. For the Measles, Mumps, and Rubella vaccines, remember that the first vaccine must have been given after you turned 12 months old, and the second dose must be at least 28 days after the first dose.
  5. If applicable, indicate which type of Meningococcal vaccine was administered and record the date. If you have not completed the Hepatitis B series, check the corresponding box.
  6. If you choose to waive any vaccinations, ensure that you read the relevant information carefully and sign in the waiver section.
  7. If proof of vaccination is provided by titer, ensure that laboratory results are attached to demonstrate immunity.
  8. Next, locate the section for recommended vaccinations and fill in dates for Tetanus Diphtheria, Hepatitis A, Varicella, and Human Papillomavirus if applicable.
  9. Remember that a physician's or authorized signature, along with an official office stamp, is mandatory for the form to be accepted.
  10. Finally, review all entered information for accuracy. Save, download, or print the completed form as needed, and follow your institution's submission process.

Complete your documents online to ensure a smooth submission process.

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The State University System of Florida/FGCU requires all students born AFTER 12/31/1956 to upload documented vaccine proof or lab immunity to MMRs, (Measles (Rubeola) Mumps and German Measles (Rubella) to their SHS Portal.

Visit your single sign-on webpage: https://sso.csulb.edu and complete the Vaccine Certification web form.

For privacy and protection of your personal health information we only accept records uploaded in your patient portal. You will need to log in the patient portal and upload your immunization records in the medical clearance section.

Contact the Immunization Section 1-877-888-7468. Immunization@FLHealth.gov. 850-922-4195. Florida Department of Health. Immunization Section. 4052 Bald Cypress Way, Bin A11. Tallahassee, FL 32399-1719.

Telephone: 813-974-4056. Fax: 813-974-5888. Document Upload (vaccination records, minor consent forms)

The Form DH 680, Florida Certification of Immunization, must be used to document receipt of Immunizations and is required for enrollment into the Florida school systems, programs, childcare facilities, and family daycare homes.

Transferring Immunization Records from Another State to Florida. The Florida Certification of Immunization, also known as the “Blue Card” or “DH 680 form,” is required for each child entering a Florida school for the first time. This form must be completed by a physician or a Florida county health department.

Click "Student Health Portal" above (big red button) Sign in using your single sign on info. Click "MYFORMS" on the top. Click the "Immunization History for Portal" form (if form is not visible, contact us: 239-590-1254 or immune@fgcu.edu)

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232