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Get Medgar Evers College Immunization Record
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How to fill out the Medgar Evers College Immunization Record online
Completing the Medgar Evers College Immunization Record is an essential step for your registration process. This guide will provide you with clear and supportive instructions to ensure you can fill out the form correctly and effectively.
Follow the steps to successfully complete the immunization record
- Click ‘Get Form’ button to obtain the immunization record form and open it for online editing.
- In Part 1, enter your personal information. Fill in your last name, first name, and middle initial where indicated. Provide your date of birth in the dd/mm/yyyy format and enter your EMPL ID number.
- Proceed to Part 2 for the Meningococcal Meningitis section. Indicate your daytime phone number and email address. Select one box under Section A to confirm your vaccination status. If you received the MCV4 vaccine, provide the date in the specified format. If you decline the vaccine, ensure to read the information carefully and provide your signature, along with the date.
- In Part 3, your health care provider will need to complete this section. Provide their name, address, and phone number. Ensure that they fill out the immunization history regarding measles, mumps, and rubella. Dates must be listed in month/day/year format, and an official stamp from the provider should be included.
- Review all sections for accuracy and legibility. Once all necessary information is filled out, save your changes. Options such as downloading or printing the completed form may be available to facilitate submission.
- Submit the finalized immunization record to the Office of Health Services at Medgar Evers College via fax or in person, ensuring all documentation is clear and legible.
Complete your Medgar Evers College Immunization Record online today to ensure a smooth registration process!
Related links form
Filling out an AAMC immunization form involves providing your personal information and documenting each vaccine you have received. Be sure to fill in the dates and types of immunizations accurately. This completed AAMC immunization form becomes part of your Medgar Evers College Immunization Record, so it is vital to take your time and ensure it is done correctly.
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