Get Umd Immunization Form

Completing the Umd Immunization Form online is a crucial step for all incoming students at the University of Maryland. This guide provides a clear and supportive overview of how to navigate the form, ensuring your immunization records are submitted correctly and on time.

Follow the steps to complete the form effortlessly.

1. Click ‘Get Form’ button to obtain the Umd Immunization Form and open it in your preferred editing platform.
2. In Section A, enter your personal information including your last name, first name, middle name, date of birth, and University ID number. Ensure all details are printed legibly in blue or black ink.
3. Select your student status from the provided options: U.S. Citizen, Permanent Resident, or International. If you're an international student, specify your country of origin.
4. Provide your address, cell phone number, and email address. These contact details are essential for communication regarding your immunization record.
5. If you are under 18, complete the parental consent section, including the parent’s signature and their relationship to you.
6. In Section B, record your MMR vaccination details. Fill in the dates for all doses received, making sure they are after your first birthday and after 1967.
7. Complete Section C by answering the tuberculosis screening questions. This includes your exposure history and any relevant symptoms.
8. If you are an international student, complete Section E, including the -based assay test and any necessary chest X-ray information, if applicable.
9. In Section F, a physician must sign or acceptable documentation must be provided. Ensure this section is completed thoroughly.
10. If necessary, fill out Section G regarding the meningococcal waiver if you are opting out of the vaccination.
11. Review the entire form for completeness and accuracy before finalizing your submission.
12. Once completed, save the changes to your document, then download, print, or share the form as directed to meet submission requirements.

Begin filling out the Umd Immunization Form online today to ensure your records are processed in a timely manner.