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COMPLETED AND SIGNED BY YOUR HEALTH CARE PROVIDER .. A. TETANUS-DIPHTHERIA. (REQUIRED) 1. Tetanus-Diphtheria B. month/day/year ! booster (must be within last ten years) MMR (two doses required) - OR- MMR (one dose) and separate Rubeola (one dose) MMR: 01 1. Dose 1 given 12-months after birth (or later) and Dose 2 after 1980 ! ! - a. Dose 1 - specify date. b; Dose 2 - specify date. Rubella: 0 1. Had vaccine. Specify date. D 2. Has report of positive immune titer. Specifydate.

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School and child care professionals can use this form to notify parents/guardians of immunization requirements. Parents/guardians can also use it to provide proof of a student's in-process vaccination plan.

How to comply Visit the Med+Proctor website directly or via my.UIC.edu. Click “Register” and use your UIC email address to create either a standard Med+Proctor account or a Med+Proctor Pro account. ... Complete required personal information, download the immunization certificate, and follow the directions provided.

Follow the steps below: Step 1: Log into your Student Health Portal using your Fresno State username and password. Step 2: Click on Medical Clearance. Step 3: Go to the Immunization Records Upload section and click "Update" and then "Upload," and "Save."

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

Georgia law requires children attending a school or a childcare facility be protected from certain vaccine-preventable diseases. Parents will need to provide Georgia Immunization Certificate (Form 3231) to their child's school or child care to show their child has been vaccinated against certain preventable diseases.

How and where do I submit immunization records? 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#)

Log into One. IU and go to Med+Proctor Immunization to submit your information. To make an appointment for any outstanding vaccinations, contact your campus health center.

Submit Immunization Records Online Log into AccessPlus. Click on the Student tab in the top right. Click on Student Health Ctr in the left navigation bar. Click on Immunization in the left navigation bar. Click the Continue Button.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232