Get Immunization Packet - Marylhurst University - Docs Marylhurst

Completing the Immunization Packet for Marylhurst University is an essential step for full-time, on-campus students. This guide will help you navigate the form accurately and confidently, ensuring that you provide all necessary information and documentation.

Follow the steps to successfully fill out the Immunization Packet.

1. Press the ‘Get Form’ button to obtain the Immunization Packet and open it to begin filling out your details.
2. Enter your full name in the designated fields: Last name, First name, Middle name, and Maiden name if applicable. Ensure accuracy as this information will identify your immunization record.
3. Provide your complete address, including Street, City, State, and Zip Code. This should be your current residence to ensure correspondence is directed to you.
4. Indicate your preferred contact number by checking the corresponding box for Home, Work, or Cell. Please include the area code.
5. Fill in your Student ID or Social Security Number as required. This is important for your identification within the university system.
6. In the Vaccine History section, select one of the options provided. If you have received two doses of the measles vaccine, fill in the dates of both doses accordingly.
7. If you cannot remember the date of your first immunization, select the appropriate option and provide the date of your second dose.
8. If you are exempt from the measles vaccination, check the relevant box and provide supporting documentation as specified in the options.
9. Sign the certification statement at the bottom of the form, confirming that all information provided is true and complete according to your knowledge. Also, include the date of your signature.
10. Once all sections are completed and reviewed for accuracy, you can save your changes, download the document, print it, or share it as required.

Ensure your immunization compliance by completing and submitting the Immunization Packet online today.