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  • Immunization And Medical Record Request Form - Southeastern ... - Selu

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Immunization and Medical Record Request Form There is a $5.00 charge for shot/medical records released in-hand or mailed. We accept Lion s Lagniappe (I.D.) or a receipt from the Controller s Office.

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Consultation Related content

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Your local health department or physician can complete the form for you. If your child has received vaccines in another state, you may have to bring a copy of your child's immunization records from that state in order to complete the certificate.

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.

Submit any immunization records to either immunizations@gsu.edu with panther ID# written on the document or to the student portal at health.gsu.edu. Other Holds: If your registration hold is not immunizations related, please contact GSU Admissions office at 404-413-2000 for further help.

- Submit Immunization Records Please submit your records to us via email at admissions@southeastern.edu or fax to 985.549. 5882.

Please send records to us at student-immunizations@uiowa.edu and we will expedite processing as much as possible.

Log into the Student Self-Service Portal and proceed to the Enter Dates screen under Immunization. Follow the page instructions to enter your vaccine and/or titer dates. Upload the immunization form and supporting lab reports.

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.

Official High School Transcripts through fax to (985)549-5882. through email to admissions@southeastern.edu. mail an official transcript in a sealed envelope to the address below.

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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
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
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 workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
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