Get Certificate Of Immunity - Tcspp Dc 2.doc

Filling out the Certificate Of Immunity - TCSPP DC 2.doc online is essential for students under 26 years of age to ensure compliance with the immunization requirements. This guide will provide detailed instructions to efficiently complete the necessary fields in the document.

Follow the steps to complete the Certificate Of Immunity form online.

1. Click the ‘Get Form’ button to access the Certificate Of Immunity - TCSPP DC 2.doc and open it in your preferred editor.
2. Part I must be completed by the student. Begin by entering your last name, first name, middle initial, date of birth, sex, phone number, and Social Security number in the designated fields.
3. Select the term of admission from the provided options: Fall, Spring, or Summer. If applicable, check the box to indicate that a Certificate of Health Examination is attached.
4. Sign and date the form at the bottom of Part I to authorize The Chicago School of Professional Psychology to release your immunization record.
5. Part II needs to be completed by a health care provider. Ensure all dates are recorded in month, day, and year format. The health care provider should confirm the completion of the required immunizations.
6. For each immunization listed (Td, MMR, Hep B, and Varicella), indicate whether the primary series is completed and provide the corresponding dates.
7. If applicable, include laboratory evidence of immunity and ensure all supporting documents, such as physician statements, are attached.
8. The health care provider must provide their signature, date, and contact information in the designated area.
9. Once all sections are filled out completely, save your changes, and prepare to download, print, or share the completed form as required.

Complete the Certificate Of Immunity - TCSPP DC 2.doc online to ensure your immunization records are up to date and compliant.