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Get Bu Immunization Requirements Form

Required Immunization Form Last Name First Name M.I. Date of Birth (MM/DD/YYYY) Please fax or mail this form to: Boston University Summer Term International Coordinator 755 Commonwealth Ave, Room.

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How to fill out the Bu Immunization Requirements Form online

Completing the Bu Immunization Requirements Form online is a crucial step for students enrolling at Boston University. This guide provides clear instructions to help users accurately fill out the form ensuring compliance with immunization requirements.

Follow the steps to successfully complete the form.

  1. Click the ‘Get Form’ button to access the form and open it in your preferred document editor.
  2. Begin by entering your last name, first name, and middle initial in the designated fields. Following these, fill in your date of birth in the MM/DD/YYYY format.
  3. Provide an active email address where you can be reached for confirmation or updates regarding your submission.
  4. Complete the vaccines section by inputting the names of vaccines received along with the corresponding dates given. Ensure you list each vaccine separately, maintaining the format as specified in the form.
  5. If applicable, provide details for the meningococcal vaccination waiver, noting your choice regarding the vaccination requirement.
  6. Answer the tuberculosis (TB) record questions truthfully, indicating whether you have had a positive TB skin test and any relevant travel history.
  7. Include the clinician's name, ensuring it is printed clearly, followed by your signature and the date of completion.
  8. Once all relevant sections are completed, review the form for accuracy. Then, choose to save changes, download, print, or share the form as required.

Start filling out the Bu Immunization Requirements Form online today.

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Boston University requires COVID-19 vaccinations and COVID-19 booster shots for students, faculty, staff, and affiliates.

Contact the Immunization Section 1-877-888-7468. Immunization@FLHealth.gov. 850-922-4195. Florida Department of Health. Immunization Section. 4052 Bald Cypress Way, Bin A11. Tallahassee, FL 32399-1719.

Download and complete the Immunization Requirements Form with your medical provider. Enter your Immunization Requirements Form data in the Immunization Portal. Upload the signed copy of your Immunization Requirements Form in Patient Connect. Upload COVID-19 Vaccine Documentation in Patient Connect.

Upload Documentation Log in to your Patient Connect portal. Click the Medical Clearances menu option, then click Update in the COVID clearance row. Click Upload to upload an image of your COVID-19 vaccine documentation, ensuring that the administered dates are clearly visible.

A bivalent COVID-19 vaccine may also be referred to as “updated” COVID-19 vaccine booster dose. COVID-19 vaccines can help protect against severe illness, hospitalization and death from COVID-19.

Boston University students must complete a COVID-19 initial vaccination series and a COVID-19 booster shot.

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