Get University Of Mississippi Certificate Of Compliance 2017-2025

Filling out the University Of Mississippi Certificate Of Compliance is an essential step for students to ensure they meet immunization requirements. This guide will provide you with clear and supportive instructions on how to complete the form accurately and efficiently.

Follow the steps to complete the form online.

1. Click ‘Get Form’ button to obtain the form and open it in the editing interface.
2. Begin by entering your date of birth in the 'DOB' field. This information is crucial for determining your immunization requirements.
3. Next, fill in your full name in the designated 'Name' field to identify your submission.
4. Provide the dates for the first and second MMR vaccinations. Enter the month, day, and year for each vaccination in the respective fields.
5. If you received separate vaccinations for Rubeola, Mumps, and Rubella instead of the MMR, fill in the corresponding dates for each vaccine in the provided sections.
6. You may also provide proof of immunity through blood testing or records of previous infections. Ensure to check the appropriate boxes and attach any necessary documents.
7. If applicable, list any contraindications for vaccinations in the space provided. Use people-first language when describing the reasons.
8. Complete the section for additional recommended immunizations, including the Td/Tdap, Meningitis, Varicella, and Hepatitis B vaccinations, by providing the respective dates.
9. Ensure that the form is signed by a physician or authorized health care provider and includes their office stamp, address, and phone number.
10. Lastly, review the completed form for accuracy. When satisfied, save your changes and choose to upload, download, print, or share the form as required.

Take action now and complete your University Of Mississippi Certificate Of Compliance online.