Get Ucr Requirements

Completing the Ucr Requirements is an essential part of ensuring compliance with health screening protocols for incoming students. This guide provides clear and detailed steps to help users fill out the form accurately and efficiently.

Follow the steps to successfully complete your Ucr Requirements form.

1. Click ‘Get Form’ button to obtain the Ucr Requirements form and open it in your preferred editing tool.
2. Start by entering your name, student ID number, birth date, and email address in the designated fields.
3. For the MMR section, provide the details of your measles, mumps, and rubella vaccinations or serology results. Enter the test date and result for each component (measles, rubella, mumps). If necessary, include dates of any additional booster immunizations.
4. In the varicella section, specify your varicella serology results, including test date and outcome. If applicable, include the date of immunizations.
5. Enter the date of your most recent Tdap vaccination. If the last dose was received over ten years ago, make sure to note that a new Td vaccination is required.
6. Complete the hepatitis B section by listing the dates of each of the three doses received. Additionally, provide the date and result of the hepatitis B surface antibody titer. If necessary, outline information for a secondary immunization series.
7. Ensure that the infectious disease status is reviewed by signing the form where indicated. Include the clinician's signature, date, name, title, phone number, and address.
8. Review all entered information for accuracy and completeness before proceeding. Once satisfied, proceed to save changes, download, print, or share the form as needed.

Complete your Ucr Requirements form online today and ensure your health documentation is in order.