Get Immunization Requirement Form - The Q

Filling out the Immunization Requirement Form - The Q online is an essential step for students to ensure compliance with immunization requirements. This guide provides step-by-step instructions to help you complete the form accurately and efficiently.

Follow the steps to complete the form accurately.

1. Press the ‘Get Form’ button to obtain the form and open it in your editor.
2. In the section labeled 'This section completed by student,' fill in your last name, first name, middle initial, and any maiden or other names. Provide your contact phone number, date of birth, and the last four digits of your social security number.
3. Sign and date the form in the designated areas to authorize the release of your immunization records to Quinsigamond Community College.
4. In the 'Required Vaccines' section, ensure you indicate proof of the required vaccinations including Tetanus/Diphtheria, MMR, Hepatitis B, and Varicella. If you have laboratory titer proof, you can include that as well.
5. Have your medical provider complete their section if applicable. They will need to provide vaccination dates, results, and their signature to confirm your immunization status.
6. If you are claiming a religious or medical exemption, sign in the relevant section, provide any necessary details, and ensure your physician completes the medical exemption section if applicable.
7. Finally, review the form for completeness and accuracy. Save your changes, download the completed form, and print or share it as needed.

Complete your Immunization Requirement Form online today to ensure compliance and avoid registration issues.