Get Csu Immunization Form - Charleston Southern University - Csuniv

Completing the CSU Immunization Form is an essential step for students planning to reside in the Charleston Southern University Residence Hall System. This guide provides a clear and structured approach to filling out the form accurately and completely online.

Follow the steps to fill out your immunization form correctly.

1. Click ‘Get Form’ button to access the CSU Immunization Form, opening it in your preferred online editor.
2. Provide your full name in the designated 'Print Name' field and enter your Student ID number in the specified area.
3. Fill in your date of birth using the format: month/day/year in the 'Date of Birth' field.
4. Refer to the required immunizations section and enter the dates for your MMR vaccinations (two doses required), ensuring to provide the month and year for each dose.
5. Complete the tetanus-diphtheria section by providing the dates for your primary series and any recent booster shots, following the same month/year format.
6. For the hepatitis B section, enter the dates of all three doses, or alternatively, indicate if you have a positive hepatitis B surface antibody, along with the corresponding date.
7. In the tuberculosis screening section, record your PPD test result as negative or positive, and include the date of the test.
8. If applicable, complete the chest X-ray information by noting the result and date, if your PPD test was positive.
9. Input your polio vaccination information by entering the dates of the doses received.
10. Complete the varicella section by indicating either the history of chickenpox, the antibody status, or the dates of vaccination doses.
11. Fill in the annual influenza vaccination date and the date for the meningococcal vaccine, following guidelines listed.
12. Certify the accuracy of the information by obtaining a signature from a licensed health care provider, ensuring that the provider also prints their name, the address, and contact number.
13. Once all sections are completed accurately, save your document. You may then download, print, or share the filled form as required.

Complete your CSU Immunization Form online to ensure you meet all university requirements.