Get Immunization Form - Charleston Southern University

Completing the Immunization Form for Charleston Southern University is a crucial step for students aiming to secure their housing assignment. This guide provides clear instructions on how to accurately fill out the form online, ensuring that all necessary immunization records are documented properly.

Follow the steps to effectively complete the immunization form.

1. Press the ‘Get Form’ button to access the Immunization Form and open it in the designated editor.
2. Begin by entering your full printed name in the designated field labeled 'Print Name' and include your Student ID number in the appropriate box.
3. Fill in your date of birth in the format of Month/Day/Year in the provided section.
4. Carefully review the required immunizations listed. For each vaccine, locate the series of fields designated for the date of administration and fill them out accurately. Ensure that you include all recommended doses as specified.
5. Complete the Tuberculosis Screening section by providing results from the required PPD test. Note the result from the options provided as well as the date when the test was conducted.
6. If applicable, provide information regarding the chest X-ray if the PPD result is positive, including the result and date.
7. Input information related to the annual influenza immunization and any meningococcal vaccine received in the designated fields.
8. Once all the fields are filled out, ensure to have your Health Care Provider sign the form in the designated signature section for validation.
9. Review the entire form for accuracy and completeness before proceeding. You can then save the changes, download, print, or share the completed form as necessary.

Ensure you complete and submit the Immunization Form online to meet university requirements for housing.