Get Download Immunization Packet - Student Health Center - Studenthealth Utk

Filling out the Download Immunization Packet is a critical step in ensuring compliance with immunization requirements for students at the University of Tennessee. This guide provides clear, step-by-step instructions to assist users in completing the form accurately and efficiently.

Follow the steps to fill out the immunization packet successfully.

1. Press the ‘Get Form’ button to obtain the immunization packet and open it in the editor.
2. Begin by completing Section A of the form. Provide your student ID number, UTK email, last name, first name, middle initial, date of birth, and address, including street number, apartment number (if applicable), city, state or country, and zip code. Additionally, indicate your semester of first enrollment and whether you plan to live in on-campus housing.
3. Proceed to Section B, which is to be completed by your health care provider. This section requires documentation of your immunizations. Ensure your provider enters all required dates following the MM/DD/YY format or attaches a copy of your vaccination records.
4. For each required immunization (Measles, Mumps, Rubella, Varicella, Hepatitis B, and Meningitis), fill in the dosage dates and serological results, as applicable. Your health care provider must sign and date this section.
5. Complete the Tuberculosis (TB) Screening Questionnaire accurately by answering 'yes' or 'no' to each question. If any question is answered 'yes,' ensure to have the Tuberculosis Risk Assessment Form filled out by your health care provider.
6. If applicable, fill out the Immunization Exemption Form, choosing either medical or religious exemption and providing the necessary details. Both student and parent/guardian signatures are required if the student is under 18.
7. Once all sections are completed, review your information for accuracy. Save any changes made.
8. Submit your completed forms by mailing, faxing, or emailing them to the Student Health Center, or delivering them in person before or during your orientation.

Complete your immunization packet online to ensure your registration proceeds smoothly!