Get Certificate Of Immunization Form - California State University, San ... - Csusm

Filling out the Certificate Of Immunization Form for California State University, San Marcos is an important step to ensure compliance with health requirements. This guide provides clear instructions to help you complete the form accurately and efficiently.

Follow the steps to complete your immunization form online.

1. Click ‘Get Form’ button to access the Certificate Of Immunization Form and open it in your editor.
2. Enter the required personal information, including your full legal name, student ID number, and date of birth. Be sure to provide an accurate address, city, and state with the corresponding zip code.
3. Fill in the name of your school, California State University, San Marcos, along with its address, and provide a contact telephone number.
4. List the immunizations you have received. For measles (rubeola), mumps, and rubella (MMR), you will need to provide the dates of each dose. Ensure that you include both doses if applicable.
5. If you require proof of Hepatitis B vaccination, include dates for each of the three doses you have received.
6. If applicable, indicate any lab evidence of immunity to the specified diseases, along with the date the evidence was obtained.
7. Complete the declaration section by having a qualified individual, such as a physician, nurse, or school health authority, sign and date the form. Their title should also be included.
8. If you are applying for an exemption, select the appropriate exemption category (medical, religious, or personal), and provide the required documentation to support your request.
9. Review the completed form for accuracy and completeness before saving changes. You can then download, print, or share the form as needed.

Complete your Certificate Of Immunization Form online today for a smooth enrollment process.