Get Immunization Records Form

This guide provides users with clear instructions for completing the Immunization Records Form online. It is designed to ensure that all required information is accurately provided to comply with health and safety regulations.

Follow the steps to fill out the Immunization Records Form online.

1. Click ‘Get Form’ button to access the Immunization Records Form and open it in the online editor.
2. In the top section of the form, fill in your name, date of birth, home phone number, SAIC email address, and SAIC Student ID number. Ensure that all information is spelled correctly and in the appropriate format.
3. Review the authorization statement allowing the School of the Art Institute of Chicago to release your immunization records. Provide your signature and the date beneath it, indicating your consent.
4. Complete the immunization sections correctly. International students should complete Section 1 and U.S. citizens or permanent residents should proceed to Section 2. Input the dates of each immunization using the MM/DD/YY format.
5. For MMR (Measles/Mumps/Rubella) immunization, choose either Section 3 or Section 4 based on your eligibility. Fill in the immunization details, including the dates and any positive lab evidence if applicable.
6. In Section 5, you may list recommended immunizations. Provide the dates for the first, second, and third doses as needed.
7. Ensure that the document is completed by a healthcare provider, who must sign and print their name, and provide their contact details. This validation is essential for the form's acceptance.
8. After completing the form and reviewing all entered information for accuracy, save your changes. You can then download, print, or share the completed Immunization Records Form as necessary.

Complete your Immunization Records Form online today to ensure compliance and avoid fines.