Get Immunization Record And Physical Examination - Desales University - Web1 Desales

Filling out the Immunization Record and Physical Examination form is an essential step for students at DeSales University. This guide will provide you with the necessary steps to accurately complete the form online, ensuring you meet all requirements.

Follow the steps to fill out the Immunization Record and Physical Examination form online.

1. Click the ‘Get Form’ button to obtain the form and open it in your preferred document editor.
2. Begin by entering your last name, first name, and middle name in the designated fields.
3. In the immunization history section, provide the dates for the required immunizations, ensuring you include Tetanus-Diphtheria, Polio, Tuberculosis screening, M.M.R., Varicella, Meningitis immunization, and Hepatitis B as applicable.
4. For each immunization, specify the dates when the primary series was completed and the dates of the most recent boosters.
5. Complete the physician's evaluation section, including filling in the details for vision, height, weight, blood pressure, and pulse. Additional observations, such as urinalysis results, should also be documented.
6. Indicate any abnormalities or specific health issues noted during the examination that may require ongoing care.
7. Ensure that the physician's details including their printed name, signature, address, date, phone number, and fax number are filled out.
8. Finally, review the entire form for accuracy and completeness. Once finished, you can save changes, download a copy for your records, print the form, or share it as necessary.

Complete your Immunization Record and Physical Examination form online today!