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Get LIM College Student Immunization Record Form 2009-2024
PART I: MENINGOCOCCAL MENINGITIS RESPONSE: New York State Public Health Law 2167 (CHECK ONE BOX ONLY) Meningitis Vaccine Date NOTE: If you (your child) received the meningococcal vaccine Menomune (available before February 2005), please note this vaccine s protection lasts for approximately three to five years. Revaccination with the new conjugate vaccine called should be considered within three to five years after rec.
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7. Should students or student health offices complete the form? Students should complete the AAMC Standardized Immunization Form in conjunction with either the student health office at their medical school or with their primary care provider.
Please send records to us at student-immunizations@uiowa.edu and we will expedite processing as much as possible.
Illinois state law requires certain immunizations for children and adults enrolled in child care, school, or college. State law also mandates immunizations for adults in specific fields of work (healthcare).
Submit electronically via your Secure Health Portal, OR. Mail to Campus Box 2540, Normal, IL 61790-2540, OR. Fax to Student Health Services at (309) 438-5205, OR. Bring in person to the Student Services Building, Student Health Services reception desk when you are on campus next.
Upload a copy of your medical documentation or your completed Med+Proctor immunization certificate to your Med+Proctor account. Make sure your forms are complete and legible. Once the immunization forms are received, you will receive an email confirmation. Chat with Med+Proctor customer support for further assistance.
How to comply Visit the Med+Proctor website directly or via my.UIC.edu. Click “Register” and use your UIC email address to create either a standard Med+Proctor account or a Med+Proctor Pro account. ... Complete required personal information, download the immunization certificate, and follow the directions provided.
Immunization Records can release your immunization records in one of the following ways: You can pick up your records in person at Immunization Records, Room 307, North Building (a valid photo ID is required) Or you can email wellness@hunter.cuny.edu, or mail the Consent to Release Immunization Form.
Based on Illinois State Law and University Policy, all newly admitted and re-admitted students to Illinois State University are required to provide proof of immunity for tetanus, diphtheria, pertussis, measles, mumps, rubella and meningitis.
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