Get University Of Mississippi Certificate Of Compliance 2011

The University Of Mississippi Certificate Of Compliance is a crucial document required for students born after January 1, 1957, to verify their immunization status. This guide provides a clear and supportive walkthrough to help you complete the form accurately online.

Follow the steps to complete the certificate successfully

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering your name in the designated fields, including your last name, first name, and middle name.
3. Enter your social security number where indicated, ensuring all digits are correct.
4. Provide your date of birth by selecting the month, day, and year from the drop-down menus.
5. In the vaccination section, enter the date of your first MMR vaccination, using the month, day, and year fields provided.
6. If applicable, indicate the dates of your rubeola, rubella, and mumps vaccinations by filling in the corresponding fields.
7. If you are providing proof of immunity through serologic testing, ensure you check the appropriate boxes and attach copies of lab results.
8. If you have had any of the diseases listed, provide detailed office records as required.
9. If you have a medical contraindication, list the reasons and specify a timeline for your vaccination if it is temporary.
10. Complete the other recommended immunizations section by filling in the last dates for DT/DTaP, polio, hepatitis B series, meningitis, and varicella.
11. Finally, ensure that a physician or authorized health care provider signs the document, includes their address, and attaches an office stamp.
12. Once you have reviewed all information for accuracy, save changes, download, print, or share the finalized form as needed.

Complete your University Of Mississippi Certificate Of Compliance online today for a smooth registration process.