Get Lawrence College Immunization Communicable Disease Form

This guide provides clear instructions on how to complete the Lawrence College Immunization Communicable Disease Form online. By following these steps, users can ensure that their immunization records are submitted accurately and efficiently.

Follow the steps to complete your form online:

1. Press the ‘Get Form’ button to download the form and open it in the designated editor.
2. Carefully enter your personal information in the fields provided, including your last name, first name, date of birth, health card number, local address, city, province, postal code, and contact numbers.
3. Indicate your program of study and student number as required on the form.
4. Read the student consent for the release of information section. Sign and date the form to indicate your agreement.
5. Complete the immunization sections for Measles, Mumps, Rubella (MMR) vaccine, providing the necessary dates, serologic status, and documentation as applicable.
6. Fill out the Varicella vaccine information, including dates of immunization and serologic status, along with any required documentation.
7. Document your Polio vaccine history by entering the dates of doses received and ensure to indicate if documentation is enclosed.
8. Provide information regarding your Tetanus/Diphtheria/Pertussis vaccination history and any relevant documentation.
9. Complete the Hepatitis B vaccine series information along with documentation of antibody levels.
10. Fill out the Meningococcal Vaccine section with appropriate dates and information.
11. Have your health care professional complete the attesting signature section, including their name, signature, and stamp if applicable.
12. Finally, save your changes, and download or print the form for submission. Make sure to keep a copy for your records.

Complete your immunization form online to ensure your eligibility for clinical participation.