Get Immunization Verification Form - Northern Arizona University

This guide provides comprehensive instructions on completing the Immunization Verification Form required by Northern Arizona University. Follow these steps to ensure that your form is correctly filled out and submitted online.

Follow the steps to complete your form successfully.

1. Press the 'Get Form' button to obtain the Immunization Verification Form and open it in your preferred document editor.
2. Begin by filling in your personal information, including your first name, last name, middle initial, NAU ID, NAU email address, and date of birth.
3. In the 'Required Immunizations' section, provide the dates for your MMR vaccinations. Ensure that the first vaccine was administered on or after your first birthday and that the second was given at least 28 days after the first.
4. If you do not have a vaccination record, you may submit a copy of your MMR blood titer results indicating your immunity status.
5. Have your healthcare provider sign and date the form, and make sure they include their office stamp as required.
6. Once all fields are completed, review the form for accuracy before saving your changes.
7. You can then download, print, or share your completed form as needed. Finally, submit the form electronically as preferred.

Ensure your compliance by completing the Immunization Verification Form online today!