Get Meningitis/ Hepatitis Information Form - University Of West Florida

The Meningitis and Hepatitis Information Form is a critical document required by the University of West Florida for student registration. This guide will provide step-by-step instructions on how to efficiently complete this form online, ensuring you understand each component and what is required.

Follow the steps to fill out the form accurately and efficiently.

1. Press the ‘Get Form’ button to access the Meningitis/Hepatitis Information Form and open it in the online editor.
2. Fill in your University of West Florida ID number in the designated field to identify your records.
3. Enter your full name as it appears on official documents in the name section of the form.
4. Input your date of birth in the specified format to verify your identity.
5. Select whether you have received the meningitis vaccine by marking the appropriate checkbox. You will also need the signature or stamp of your health care provider along with the date.
6. If you choose to waive the meningitis vaccine, fill out the waiver section, including your signature and the date. If under 18, obtain a signature from a parent or guardian.
7. For the hepatitis B vaccine section, indicate whether you have received it by marking the corresponding checkbox and providing the dates for each of the three doses, if applicable.
8. Similar to meningitis, provide your health care provider’s signature or stamp and the date for the hepatitis B section.
9. If you opt for the waiver for hepatitis B, complete the waiver section by signing and dating it. Remember, if you are under 18, acquire the signature of a parent or guardian.
10. Once all sections are completed, you have the option to save changes, download, print, or share the form according to your needs.

Complete your Meningitis/Hepatitis Information Form online to ensure your registration process is smooth and timely.