Get Immunization Record For Kinesiology At Texas Woman's University - Twu

Completing the Immunization Record for Kinesiology at Texas Woman's University is an essential step for students prior to participation in clinicals. This guide will walk you through the online process of filling out this important form, ensuring you provide all necessary information accurately.

Follow the steps to successfully complete the form online.

1. Click the ‘Get Form’ button to retrieve the Immunization Record form and access it in your preferred online editor.
2. Begin by filling in your personal details: enter your full name, TWU ID number, date of birth, email address, primary phone number, and alternative phone number in the designated fields.
3. Provide your current address, including street address, city/state, and zip code, ensuring all information is accurate and up to date.
4. Document proof of immunizations: For MMR, record the dates of two injections received since age one. Ensure proper proof is attached, either a signed record from a medical provider or documentation from a healthcare provider.
5. Enter the date of your Tetanus/Diphtheria booster received within the past 10 years.
6. For the Mantoux TB Skin Test, input the date placed, date read, and results, specifying the mm of induration and noting whether the result is negative or positive.
7. Complete fields for Hepatitis B and Varicella vaccines, noting the dates for each dose received and attaching any required lab reports or declarations related to the Varicella Titer or disease declaration.
8. Ensure that a healthcare provider signs the form. You may also need to include their name, address, phone number, and office stamp as required.
9. Student signature is required to certify the accuracy of the information provided. Input the date signed to complete this section.
10. Once all sections are filled out and reviewed for accuracy, save your changes. You may download, print, or securely share the form as needed for submission.

Ensure you complete your Immunization Record online today to meet Texas Woman's University's requirements for clinical participation.