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Last First Middle Date of Birth: / / Month Day Year Country of Birth: If not the USA, indicate the year you entered this country: REQUIRED for ALL STUDENTS: *Measles, Mumps, Rubella (MMR) Immunization/Immunity: The State Board of Health Communicable Disease Regulations (November 1, 1991) requires evidence of immunity to Measles, Mumps, and Rubella for all students entering Wesle.

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How to fill out the Wesley College Physical Form online

This guide provides comprehensive instructions for users on completing the Wesley College Physical Form online. Following these steps will ensure that all necessary information is submitted accurately and efficiently.

Follow the steps to complete the Wesley College Physical Form online

  1. Press the ‘Get Form’ button to access the Wesley College Physical Form and open it for editing.
  2. Begin with the student name section, where you will need to enter your last name, first name, and middle name clearly.
  3. Next, fill in the date of birth in the format of month, day, and year.
  4. Indicate your country of birth, and if you were not born in the USA, specify the year you entered the country.
  5. For the immunization section, provide the dates for your Measles, Mumps, Rubella (MMR) vaccine or document your immunity through disease or antibody titer.
  6. If applicable, complete the PPD (Mantoux) Tuberculosis Screening Test section, including results and any necessary lab reports.
  7. Fill out the section for meningococcal and meningitis immunization information, including the date of vaccination.
  8. Continue with the tetanus-diphtheria, polio, hepatitis B, and varicella sections, providing vaccine dates and details as required.
  9. Complete the health care provider section, ensuring it is signed by your health care provider, and include their contact information.
  10. If you need a medical or religious exemption, fill out the relevant sections, ensuring all required signatures and information are provided.
  11. Finally, review the completed form for accuracy, then save your changes, and choose to either download, print, or share the form as needed.

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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
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
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 WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
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