Get Mercer University Immunization Form - Student Affairs, Macon ... - Studentaffairs Mercer

This guide provides comprehensive instructions on how to accurately complete the Mercer University Immunization Form for students attending the Macon, Savannah, and Eastman campuses. Following these steps will ensure your submission is clear and meets the university's requirements.

Follow the steps to successfully complete the immunization form.

1. Press the ‘Get Form’ button to obtain the Mercer University Immunization Form and open it for editing.
2. Fill in the date at the top of the form to indicate when you are completing it. Enter your Social Security Number, ensuring that you follow the format provided.
3. Complete the name section with your last name, first name, and middle name, as specified.
4. Provide your date of birth and phone number by entering your permanent address in the designated fields.
5. Identify an emergency contact person by filling in their name, address, relationship to you, and phone number.
6. In the required immunizations section, indicate the dates of your MMR vaccination or provide dates for separate measles, mumps, and rubella vacinations if applicable.
7. If relevant, include documents showing positive antibody titers, as well as the dates for the Measles, Mumps, and Rubella titer tests.
8. Ensure the section for the signature of a health care provider is completed, along with their printed name, address, telephone number, and stamp.
9. Move to the tuberculosis screening section and have a health care provider assess the required questions and any necessary tests.
10. Fill out the dates and results of the PPD Tuberculosis skin test and any chest x-ray required, ensuring that your health care provider signs and stamps this section as well.
11. Complete the section on recommended vaccinations, providing dates where appropriate. This section includes Tetanus, Meningitis, Hepatitis B, and Chickenpox.
12. If you have health insurance, be sure to include any necessary information regarding your personal health insurance.
13. Review the entire form for accuracy and completeness, then save your changes. You may then download, print, or share the completed form as needed.

Complete your Mercer University Immunization Form online today to ensure a smooth admissions process.