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Rter/Year Date of Birth (Mo./Dy./Yr.) Student ID Number UW ID Number PLEASE CHECK EACH ITEM YES OR NO AND FILL IN BLANKS WHEN APPLICABLE 1. Have you ever had BCG (a shot to prevent tuberculosis/TB)? When? 2. Have you ever had a tuberculin (PPD skin test to detect TB? When? 3. Was the TB skin test negative (no swelling)? 4. Have you had a rubella titer (blood test)? Date? Result? 5. Have you had a hepatitis B blood test? Date? Result? 6. Have you ever experienced adverse.

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Upload a copy of your immunization forms to your Med+Proctor account. Make sure your forms are complete and legible. If you are uploading your own copy of your immunizations instead of the forms provided by Med+Proctor, please be sure it has your medical provider's office stamp and signature, along with your UIN.

The Health Sciences Immunization Program (HSIP) ensures students enrolled in health sciences academic programs comply with the requirements detailed in the University's affiliation agreements with clinical and practicum training sites.

There are a few ways you can access your family's immunization information: Option 1: Sign up for MyIR Mobile at MyIRmobile.com to view and print your family's immunization information, including COVID vaccination. Option 2: Request a complete immunization record from your health care provider, clinic, or local pharmacy.

Immunization Requirements Chickenpox (Varicella) Diphtheria. German measles (Rubella) Haemophilus influenzae type b (Hib)* Hepatitis B. Measles.

At this time, UW-Madison does not have a vaccine requirement for students. The following vaccines are recommended for incoming students: COVID-19. Hepatitis B (HBV)

Washington State University will no longer require most students to be vaccinated against COVID‑19 beginning with the summer 2023 session.

The University's COVID-19 Vaccination Policy is no longer in effect as of June 12, 2023. Being up-to-date on COVID-19 vaccination is strongly encouraged for all UW personnel and students.

Measles and mumps immunization: All students must submit proof of two measles and mumps vaccinations, two MMR vaccinations or lab evidence of positive titer. Meningitis ACWY immunization: All students under age 22 must submit proof of a conjugate meningitis ACWY vaccination given at age 16 or older.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232