Get Bacterial Meningitis Immunization Record Wellness Center - Tams Unt

Filling out the Bacterial Meningitis Immunization Record is an essential step for students who will be residing in on-campus housing at the University of North Texas. This guide aims to provide clear instructions on how to complete this form online, ensuring a smooth submission process.

Follow the steps to successfully complete the immunization record.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering your student information, including your UNT student ID#, year, and enrollment term (select fall, spring, or summer). Provide your last name, first name, middle initial, date of birth, and age. Additionally, fill in your mailing address, apartment number, city, state, and zip code, along with your daytime phone number and email address.
3. Confirm whether you plan to live in on-campus housing or greek housing by selecting 'Yes' or 'No'.
4. Choose between Option 1 or Option 2 for submitting your immunization documentation. For Option 1, select the type of attachment you are providing, ensuring it is in English or includes a notarized translation. For Option 2, a health care provider must complete the relevant section, including the date of immunization, vaccine administered, and official stamp.
5. If using Option 2, ensure a health care provider completes the relevant fields, including their name, address, and phone number. The provider must also sign and date the form.
6. Complete the certification statement indicating that you have read and understand the immunization requirements. For students aged 18 and older, sign and date the form in black ink. If you are a minor, a parent or guardian must sign, providing their full name, date, and relationship to the student.
7. Review the completed form for accuracy and completeness. Ensure that all necessary fields are filled out correctly.
8. Once you have filled out the form, you can save your changes, print a copy for your records, or share it as required. If submitting by mail, ensure it is sent to the appropriate address provided in the document.

Start filling out your Bacterial Meningitis Immunization Record online today to ensure your timely housing arrangements!