Get Lim College Student Immunization Record Form 2022-2025

Completing the LIM College Student Immunization Record Form online is essential for ensuring the health and safety of the campus community. This guide provides clear and friendly instructions to help users fill out the form accurately and efficiently.

Follow the steps to complete the online form with confidence.

1. Select the ‘Get Form’ button to access the LIM College Student Immunization Record Form and open it in your preferred online editing tool.
2. Begin by filling in your personal information, including your full name (first, middle, last) and date of birth.
3. Indicate the semester and year you are entering LIM College.
4. Choose your academic status by checking either the undergraduate or graduate option.
5. For Part I, focus on meningococcal meningitis response. Complete either Section A or B by providing details about your vaccination history. If applicable, note the date of your Meningitis ACWY vaccine or the two doses of Meningitis B.
6. If you are opting out of the meningococcal vaccination, sign the statement confirming your decision, ensuring it is by the student or a parent/guardian if under age 18.
7. In Part II, proof of measles, mumps, and rubella immunity, provide the required vaccination dates for MMR or its individual components based on your immunization history.
8. If applicable, complete the section regarding blood titers and ensure you attach a lab report with your immunization record.
9. Enter your healthcare provider’s details, including their name, license number, signature, date, and phone number.
10. After completing all necessary sections, review the form for accuracy and clarity before saving, downloading, or printing the document.

Complete your LIM College Student Immunization Record Form online today for a smooth enrollment process.