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How to fill out the Mandatory Immunization Form - Ucmo online

Completing the Mandatory Immunization Form - Ucmo online is essential for enrollment and employment at the University of Central Missouri. This guide provides clear, step-by-step instructions to help users successfully fill out and submit the form.

Follow the steps to complete your form accurately.

  1. Click ‘Get Form’ button to obtain the form and open it in the editor.
  2. Provide your personal information including your last name, first name, middle initial, date of birth, and student ID number. Ensure all information is accurate and up-to-date.
  3. Enter your UCM email address and permanent address, including street, city, state, ZIP code, and country. It is important to ensure these details are correctly filled out for proper communication.
  4. In Part I, indicate your Measles, Mumps, Rubella vaccinations. Select one of the two options provided: either confirm that you have received 2 doses of the MMR vaccine or provide titer results. Be prepared to attach documentation as required.
  5. In Part II, address the Tuberculosis screening requirements. If applicable, check any relevant statements that apply to your situation. If you need to provide documentation, attach the required test results or treatment records.
  6. In Part III, if you are living in residence halls, check the statement regarding the meningococcal vaccine and attach required documentation if applicable.
  7. Sign and date the form at the bottom. If you are under 18 years of age, a parent's or guardian's signature is also required.
  8. Review the completed form for accuracy. Make any necessary changes before final submission.
  9. Once you have confirmed all information is correct, save your changes, and proceed to download or print the form for submission. You can fax, bring, or mail the completed form to the University Health Center.

Complete your Mandatory Immunization Form - Ucmo online today to ensure your enrollment or employment eligibility.

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The Form DH 680, Florida Certification of Immunization, must be used to document receipt of Immunizations and is required for enrollment into the Florida school systems, programs, childcare facilities, and family daycare homes.

The university strongly recommends faculty, staff and students receive COVID-19 vaccines.

Under this act, no employer shall require employees to receive a COVID-19 vaccination as a condition of employment without permitting employees to be exempted for religious, philosophical, medical reasons, including pregnancy, or previous exposure to and recovery from COVID-19.

Documentation of two vaccines against measles, mumps, rubella (MMR) is required. Students must complete the online Tuberculosis (TB) Screening form to meet the TB requirement.

Vaccination exemption: In Missouri, there are only two options for receiving a vaccine exemption: medical or religious. If you believe you meet the criteria for a medical or religious exemption (see below), you may request an exemption.

Specifically, Missouri's rules require that those seeking a vaccination waiver use Form 11 to record their religious objection in obtaining a vaccination waiver for their child.

The exemption must be completed, signed by the parent or guardian and placed on file with the school immunization health record. It is unlawful for any child to attend school unless the child has been adequately immunized or unless the parent or guardian has signed and filed a Religious Immunization Exemption form.

12 form is incorporated by reference in this rule as published June 2012 by the Department of Health and Senior Services and may be obtained by contacting a medical provider, local public health agency, or the department's Bureau of Immunization Assessment and Assurance at PO Box 570, Jefferson City, MO 65102-0570, or ...

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