Get Immunization Record - Adventist University Of Health Sciences

Completing the Immunization Record for the Adventist University of Health Sciences is an essential step for students entering professional programs. This guide will provide clear instructions to ensure that you fill out the form accurately and effectively, facilitating your registration process.

Follow the steps to successfully complete your immunization record.

1. Press the ‘Get Form’ button to obtain the Immunization Record and open it in your browser.
2. Carefully read the Statement of Understanding section. You must confirm that you understand the immunization requirements specific to your chosen program.
3. Fill in your personal details at the top of the form including your name, Student ID number, and birth date.
4. Proceed to Section A, which is required for all students: fill out the tuberculosis section, providing the date the PPD was administered, read date, and results.
5. For measles, mumps, and rubella, indicate whether you have proof of two MMR immunizations or positive titers. Fill in the respective dates and results where applicable.
6. Complete the tetanus-diphtheria section, noting the primary series date and booster date if applicable.
7. In the varicella zoster virus section, document your immunizations, titer results, or history of varicella.
8. Provide details for hepatitis B vaccinations, including three shot dates and an indication if you decline the vaccine.
9. If applicable, housing students should fill out Section B regarding meningococcal meningitis with either the vaccination date or waiver.
10. Finally, Section C requires a healthcare provider's certification. Ensure they complete their section and provide their signature and license information.
11. Once all sections are complete, review the entirety of the form for accuracy and clarity before submitting. You can save changes, download, print, or share the form as needed.

Complete your immunization record today to ensure a smooth registration process.