Get Pellissippi State Immunization Form

Completing the Pellissippi State Immunization Form online is a straightforward process. This guide provides step-by-step instructions to assist new students in filling out the necessary information accurately and efficiently.

Follow the steps to complete your immunization form online.

1. Press the ‘Get Form’ button to obtain the form and open it in your online editor.
2. Begin by filling in your name in the designated fields for last name, first name, and middle initial.
3. Enter your date of birth in the specified format, using month, day, and year.
4. Provide your Social Security number in the appropriate section, remembering that this disclosure is voluntary.
5. Fill in your phone number in the provided space, ensuring the area code is included.
6. Review the hepatitis B information provided in the form, making sure you understand the risks and benefits associated with the vaccination.
7. Indicate your vaccination status by checking the relevant option: whether you have completed the vaccination series or have elected not to receive it.
8. If you have received the vaccination, fill in the date of completion for your three-dose series.
9. Sign the form. If you are under 18, a parent or guardian must also sign in the designated area.
10. Once all information has been filled out, save your changes. You may then choose to download, print, or share the completed form.

Complete your Pellissippi State Immunization Form online today to ensure a smooth enrollment process.