Get Immunization History Form Princeton University

Filling out the Immunization History Form for Princeton University is an essential step for re-entering students. This guide provides clear instructions to help users complete the form accurately and efficiently while ensuring all necessary information is included.

Follow the steps to fill out your immunization history form easily.

1. Press the ‘Get Form’ button to obtain the immunization history form and open it in an editing tool.
2. Begin by entering today’s date at the top of the form.
3. Check the appropriate school box to indicate whether you are a Princeton University undergraduate or another returning class.
4. Provide your date of departure from school in the designated field.
5. Fill in your full name and date of birth in the respective sections.
6. Enter your home address completely, including street, city, state, and zip code.
7. Include your home telephone number and ensure it is accurate.
8. List an emergency contact person and provide their telephone numbers for both home and work.
9. Address the reason for your leave in the specified section.
10. Detail any illnesses you have experienced since your last attendance, including dates and hospitalization details.
11. List any surgical procedures undergone, excluding minor surgeries unless there were significant functional impairments.
12. Indicate any new allergies or adverse reactions to medications, drugs, or foods that need to be noted.
13. Describe any changes in your family or social situation that the university health services should be aware of.
14. If applicable, complete the section regarding the Tuberculin test and include dates and results, along with the clinician's information.
15. Attach copies of your immunization records for any vaccines received while away from campus.
16. Review your completed form for accuracy and clarity before finalizing.
17. Save your changes, and choose to download, print, or share the completed form as needed.

Complete your immunization history form online today and ensure a smooth return to campus.