Process A. STUDENTS 21 YEARS OLD AND UNDER 1. An immunization report (PVAC-3 Form) which must include the following: a) At least three doses of DTP/TD and Polio Vaccines. b) TD dose no more than 10 years after last TD. c) Two doses of MMR (Mumps, Measles, Rubella). First vaccine must be given after 12 months of age. Second dose must be given at least one month after first one. d) Students 18 years old and under must provide evidence of 3 doses of Hepatitis B. Note: This immunization record i.

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How to fill out the Pvac 3 Puerto Rico online

Completing the Pvac 3 form is a vital step in the registration process for students at the University of Puerto Rico, Mayaguez Campus. This guide provides concise, step-by-step instructions to help users accurately fill out the form online, ensuring compliance with health requirements.

Follow the steps to complete the Pvac 3 form online.

  1. Press the ‘Get Form’ button to access the Pvac 3 form. This will allow you to open the document in your preferred online editor.
  2. Begin by entering your personal information in the designated fields. This includes your name, social security number, and student number. Ensure all spelling is accurate.
  3. Next, provide your address details, including street, city, state, and zip code. Double-check for correctness.
  4. Fill out the family history section by listing any family diseases such as diabetes or tuberculosis.
  5. In the emergency contact section, enter the name, address, and phone number of a person to be contacted in case of an emergency.
  6. Complete the personal history section by checking all relevant diseases or conditions you have had.
  7. Proceed to the physical examination section. This will require input from a licensed physician who will evaluate your health status and provide necessary details.
  8. If applicable, fill out the authorization for diagnosis and/or ambulatory treatment section, ensuring that all required signatures are obtained, including that of a public notary.
  9. After completing all sections, review the entire form for accuracy. When satisfied, you can save your changes, download a copy, print it for your records, or share it as needed.

Complete the Pvac 3 form online today to ensure your registration process is seamless and compliant.

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What is PVAC 3?

An immunization certificate (PVAC-3 original form) is required for every student, including internationals, under 21. Certification of immunization requirements must be documented on the back.

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