Get Abac Immunization Form

Filling out the Abac Immunization Form online is an essential step for students who wish to enroll at Abraham Baldwin Agricultural College. This guide provides clear, step-by-step instructions to help you navigate the form with ease and confidence.

Follow the steps to complete your Abac Immunization Form online.

1. Click 'Get Form' button to access the Abac Immunization Form and open it in the editor.
2. Begin by filling in your personal information in Part A, including your name, expected enrollment date, home mailing address, and date of birth. The sex field is optional. Ensure that you provide accurate information.
3. Include your social security number and the name of your home physician as prompted in Part A. This information is necessary for your health records.
4. In Part B, your health care provider must complete the required immunizations section. Ensure that they fill in the details for immunizations you have received, such as MMR, Tetanus-Diphtheria, Varicella, and Hepatitis B. They will need to provide dates and check relevant boxes.
5. If applicable, make sure your health care provider certifies your immunization status by providing their signature and date in the space provided. Their details, including name, address, and phone number, must also be filled in.
6. If you are eligible for a medical or religious exemption, complete the relevant section with necessary details and ensure that you sign where indicated, especially for religious exemptions.
7. Review your entries for accuracy and completeness, then save your changes. You can then download, print, or share the completed form as needed.

Complete your Abac Immunization Form online now to ensure your enrollment at ABAC.