Get Evidence Of Vaccination Against Bacterial Meningitis Form

The Evidence Of Vaccination Against Bacterial Meningitis Form is a crucial document required for students attending institutions of higher education in Texas. This form ensures compliance with state regulations concerning vaccination against bacterial meningitis and is necessary for housing eligibility.

Follow the steps to complete the form accurately online.

1. Use the 'Get Form' button to access the document and open it for editing.
2. Begin by entering your full printed name in the designated field.
3. Indicate your birthdate by filling in the appropriate section.
4. Check the box to confirm you have received the bacterial meningitis vaccine, and provide the date it was administered in the format ____/_____/______.
5. Sign and date the section for the health care provider to validate your vaccination. Ensure the signature is clear and legible.
6. If applicable, attach an official immunization record from a health authority, or a record from school officials, by submitting a copy.
7. If you are exempting yourself from the vaccination, check the appropriate box and provide the necessary documentation, such as an affidavit from a physician or a statement of conscientious objection.
8. Once all fields are filled out completely, save your changes to the form, and you may choose to download, print, or share the document as needed.

Make sure to complete and submit your documents online to maintain your eligibility for housing.