Get Clark University Health Services Graduate Immunization Record

Completing the Clark University Health Services Graduate Immunization Record online is an essential step for graduate students to ensure compliance with health regulations. This guide provides a clear, step-by-step process to assist users in accurately filling out this important document.

Follow the steps to complete your immunization record

1. Press the ‘Get Form’ button to access the record and open it in your document management system.
2. Begin by filling in your personal information at the top of the form. Include your full name, date of birth, and student ID number. Make sure this information is accurate to avoid any delays.
3. Provide your contact details, including cell phone number and email address, ensuring that you can be reached if necessary.
4. Indicate your department and whether you will be residing on campus by selecting 'Yes' or 'No' for University Housing.
5. In the 'Required Vaccines' section, list the dates of your vaccinations or lab results for each required vaccine. For vaccines requiring multiple doses, be sure to input each date in the respective fields.
6. For each vaccine, check the box indicating whether you are immune or not immune when applicable. It is important to provide any required supporting documents, such as laboratory reports for titers.
7. Fill out the required information for the TB test and supply the results in the provided fields, marking whether it was a PPD or IGRA test.
8. Complete the section for the meningitis vaccine and any additional required details if applicable, including a signed waiver if you are opting out.
9. In the 'Recommended Vaccines' section, input any additional vaccines you have received along with the corresponding dates.
10. Lastly, have your healthcare provider complete their information at the bottom of the form, including a signature and date. This step is crucial to validate your record.
11. Once you have filled out all relevant fields and attached any necessary documents, save your changes. You can then download, print, or share the form as required.

Ensure your health compliance by completing the Clark University Health Services Graduate Immunization Record online today.