Get Forms And Documents - Student Health Center - Csusb - Healthcenter Csusb

This guide provides a comprehensive overview of how to fill out the Forms and Documents required by the Student Health Center at California State University, San Bernardino. By following these clear steps, you will be able to complete your immunization exemption declaration effectively and efficiently.

Follow the steps to complete the form online.

1. Click the ‘Get Form’ button to acquire the document and open it within your editing platform.
2. Begin by accurately filling in your student name and ID number in the designated fields. Ensure that you print this information clearly to avoid any misunderstandings.
3. Review the notice regarding outbreak situations. Acknowledge and understand that in such cases, access to campus may be restricted for protection.
4. For measles/rubella (MMR) and hepatitis B immunization exemptions, you need to check the appropriate box to indicate the reason for your exemption. Options include medical, allergy to eggs, current pregnancy, or letters from your private medical doctor.
5. If applicable, provide details for medical exemptions or allergies where requested. Include any necessary explanations to clarify your reasons.
6. If claiming a religious or personal exemption, mark the corresponding box. Ensure you provide any additional context as required.
7. Sign the form in the designated space, followed by dating the signature. If you are under the age of 18, a parent or guardian must also sign and date the form, indicating their consent.
8. After completing the form, review all entered information for accuracy. Once confirmed, you can save any changes made to the document.
9. You may choose to download, print, or share the completed form as necessary for your records or submission.

Complete your immunization exemption declaration online today.