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Get Immunization Form 2016 - Ucsf Student Health - Studenthealth Ucsf
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How to fill out the Immunization Form 2016 - UCSF Student Health online
Completing the Immunization Form 2016 for UCSF Student Health is an essential step in your enrollment process. This guide provides detailed instructions on how to accurately fill out the form online, ensuring that all required information is submitted correctly.
Follow the steps to successfully complete the Immunization Form.
- Press the 'Get Form' button to access the Immunization Form 2016 - UCSF Student Health. This will open the form in a suitable editing platform.
- Begin by entering your personal information at the top of the form. Fill in your first name, middle name, last name, date of birth, phone number, and email address. Ensure that all details are accurate to avoid any processing delays.
- Indicate your school/program and any relevant identification numbers as requested. This helps to ensure that your document is correctly associated with your enrollment.
- Next, navigate to the immunization sections. You will find sections for measles, mumps, rubella, varicella, Tdap, and hepatitis B. Fill out the details for each vaccine as applicable, including the dates of administration.
- In the titer sections (measles, mumps, rubella, and varicella), provide the date of the titer test and include a copy of the lab report confirming positive results. If you do not have these records, consult with your healthcare provider.
- Complete the TB screening information. Depending on your history, fill out either the negative or positive TB screen section. Follow the instructions provided to report the necessary details.
- Verify that all information is accurate and complete. Review the document to ensure that you have not overlooked any fields or requirements.
- After completing the form, you can save your changes. Choose the option to either download the completed form, print it for physical submission, or share it via email to the designated address provided.
Take action now and complete your Immunization Form online to ensure a smooth enrollment process.
University of California Immunization Policy Covered individuals are required to show proof of immunity against Measles, Mumps, Rubella, Varicella (Chicken Pox), Tdap (pertussis) and Meningitis ACYW (for those under the age of 21) and complete a screening questionnaire for Tuberculosis (TB).
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