Get Meningitis Immunization

Completing the Meningitis Immunization form is an essential step for prospective students at the University of Houston. This guide will walk you through each section of the form, ensuring that you provide all required information accurately and promptly.

Follow the steps to complete the Meningitis Immunization form online

1. Press the ‘Get Form’ button to obtain the Meningitis Immunization form and open it for editing.
2. Fill in your university identification number (myUH ID) as requested.
3. Enter your date of birth in the format MM/DD/YYYY.
4. Provide your last name, first name, and middle initial.
5. Indicate your gender by selecting either male or female.
6. Complete your mailing address, including apartment number, city, state, and ZIP code.
7. Choose your student status: New to UH, Returning, or Readmit.
8. Input your phone number and email address for communication.
9. Select either Option 1 or Option 2. For Option 1, choose the type of attachment you are submitting: An official immunization record, a medical exemption affidavit or certificate, or the Texas Department of State Health Services exemption form.
10. If you selected Option 2, ensure your physician or health care provider completes section A or B. In section A, enter the vaccination date and type.
11. Have your physician or health care provider sign the compliance form; they must confirm that the required vaccinations or immune tests have been administered.
12. In section B, have your physician print their name, office address, phone number, and license details.
13. If applicable, have a parent or legal guardian sign in the designated area if the student is under 18 years of age.
14. Read the certification statement, then sign and date the form, confirming the accuracy of the information provided.
15. Save changes to the form and proceed to download or print it for submission.

Complete your Meningitis Immunization form online today to ensure a smooth admission process.