Get Immunization Compliance Form - Pat Walker Health Center

Completing the Immunization Compliance Form is an essential step for all newly admitted students at the University of Arkansas. This guide provides clear and instructive steps to assist you in filling out the form online, ensuring that you meet the state's immunization requirements effectively.

Follow the steps to complete the Immunization Compliance Form online

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. In Part 1, provide your name, University ID, date of birth, and phone number in the designated fields.
3. For the measles, mumps, rubella section, select one of the three options to fulfill the immunization requirement. If you choose the first option, ensure to attach copies of your immunization records.
4. If opting for the second option, include your titer results as documentation of immunity.
5. If you require a medical or religious exemption, ensure the appropriate signatures and details are provided in the exemption section.
6. Complete Part 2 for tuberculosis screening if applicable, and provide the necessary documentation as required.
7. In Part 3, note any recommended vaccinations and review the information provided regarding meningitis.
8. After completing all sections, review the form for accuracy, save your changes, and download or print a copy for your records.

Complete the Immunization Compliance Form online today to ensure your enrollment at the University of Arkansas.