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(Month) (Day) (Year) Email: Day-time phone or cell: Vaccine and Immunity Verification (to be completed by health care provider): For Hepatitis B & Varicella: Copies of actual lab test results indicating positive serum antibody titers are required as proof of immunity. When vaccine series is incomplete, dates of vaccination should be provided on this form until the time when serum antibody titers are don.

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How to fill out the Fiu Immunization online

Completing the Fiu Immunization form online is a crucial step for ensuring your health records are up to date. This guide will provide you with a clear and detailed walkthrough of each section of the form to assist you through the process.

Follow the steps to complete your Fiu Immunization form effectively.

  1. Press the ‘Get Form’ button to acquire the necessary form and open it for completion.
  2. Begin filling out the personal information section. Enter your full name as it appears on your official identification. Select your sex by marking the appropriate box.
  3. Input your FIU Panther I.D. number, your date of birth in the required format (month/day/year), and your email address. Provide a contact number where you can be reached during the day.
  4. The vaccine and immunity verification section must be completed by a healthcare provider. Ensure your provider fills this section accurately, detailing the vaccines received and the results of any antibody tests.
  5. For each vaccine listed, make sure the dates of vaccinations are provided. If applicable, attach copies of lab test results indicating immunity or incomplete vaccine series as stated in the form.
  6. Confirm that all required documents are attached, including serologic titer results where necessary. Ensure all fields are completed thoroughly to prevent delays in processing.
  7. In the physician attestation statement, your healthcare provider must certify the information above. They will check 'Yes' or 'No' and provide any additional recommendations if needed, signing and dating the form. Their contact information and an office stamp are also required.
  8. Finally, after thoroughly reviewing the completed form for accuracy, follow the instructions to save your changes, download a copy, print it, or share it as necessary.

Complete your Fiu Immunization form online today to ensure your immunization records are current.

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Please send records to us at student-immunizations@uiowa.edu and we will expedite processing as much as possible.

FIU does not require any students or employees to get a COVID-19 vaccination, although we highly recommend it for your own benefit. While evidence shows that people who are vaccinated can get COVID-19, their symptoms are usually milder. If you are unvaccinated, you are assuming a significant risk to your health.

Vaccines and Boosters UF expects but does not require that faculty, staff or students receive the COVID-19 vaccine.

A World-Class Institution FIU is Miami's public research university. Offering bachelor's, master's, and doctoral degrees, both on campus and fully online, FIU is worlds ahead in its service to the academic and local community.

You may submit a copy of your immunization records: Via fax: to 305-348-3336 or 305-919-5312. Via email: scanned documents to immune@fiu.edu (subject: Panther ID#) Via mail: FIU-Health Compliance Office, 11200 SW 8th Street, SASC 126 Miami, FL 33199.

Contact the Immunization Section 1-877-888-7468. Immunization@FLHealth.gov. 850-922-4195. Florida Department of Health. Immunization Section. 4052 Bald Cypress Way, Bin A11. Tallahassee, FL 32399-1719.

FIU does not require any students or employees to get a COVID-19 vaccination, although we highly recommend it for your own benefit.

We will prioritize on-campus opportunities for First Year students while reducing the overall student density. In-person classes will take place on campus at set times. In-person classes may use Canvas. Hybrid classes have both in-person, classroom sessions on campus and out-of-classroom learning experiences.

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