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Get NSULA Immunization Request for Exemption/ Waiver Form 2013-2024

Ssion to the University REQUIREMENT: PRINT NAME: _______________________________________ SSN: ____________________________ TWO (2) doses of measles vaccine; at least one (1) dose each of rubella and mumps vaccine; and a tetanus-diphtheria booster (AT LEAST 10 YEARS CURRENT) Measles Requirement: Two (2) doses of live vaccine given at any age, except that the vaccine must have been given on or after the first birthday, 1n 1968 or later, and without Immune Globulin. A second dose of measles va.

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