Get Portland State University Mmr Form

Completing the Portland State University Mmr Form is an essential step for incoming students to demonstrate compliance with the measles vaccination requirement. This guide provides clear instructions to assist you in filling out the form accurately and efficiently online.

Follow the steps to successfully complete the Portland State University Mmr Form online.

1. Click ‘Get Form’ button to obtain the form and open it in the editing interface.
2. Enter your last name, first name, and middle initial in the designated fields.
3. Provide your PSU ID, which is a required field for identification.
4. Complete the street address, followed by your city, state, and zip code.
5. Input your date of birth in the required format: Month/Day/Year.
6. In the vaccination history section, enter the date on which you received the first dose of the MMR vaccine. This should be at least one year after your date of birth.
7. Next, fill in the date for the second dose of the MMR vaccine, ensuring it is a minimum of 28 days after the first dose.
8. If you are requesting an age exemption, check the appropriate box and initial it.
9. Complete the medical exemption section if applicable, providing the required information and obtaining a physician’s signature.
10. If applying for a religious exemption, sign and date the section provided.
11. Review all entered information for accuracy before finalizing.
12. Save your changes, and choose to download, print, or share the completed form as needed.

Complete the Portland State University Mmr Form online today and ensure your compliance with measles vaccination requirements.