Student Health Services Immunization Requirements Checklist your state health offices Acquire a copy of your student’s vaccination record from either or doctor’s office Visit the Patient Portal at Log in using your NetID and password provided in the mail from IT Services student’s Enter dates corresponding to the vaccination record you acquired under the “Immunization” tab Input insurance information under the tab “Insurance” Under the “Forms” tab: Complete the Student Health History” form “Comprehensive Download the and TB Screening Form” “Immunization Download the Waiver Form” (if applicable) “Immunization Under the to the bottom to the drop-down list, and: “Upload” tab, scroll Select any document(s) to upload: Examples: Front of insurance card (required), Back of insurance card (required), Copy of vaccination records (required), TB Screen Form (required), TB Skin Test/PPD Reading (required only if a TB skin test was administered), Immunization Waiver Form (if applicable), and Any other pertinent medical documentation you wish for us to have
Student Health Services Immunization Requirements Checklist Acquire a copy of your student’s vaccination record from either your state health offices or doctor’s office Visit the Patient Portal at Log in using your student’s NetID and password provided in the mail from IT Services Enter dates corresponding to the vaccination record you acquired under the “Immunization” tab Input insurance information under the “Insurance” tab Under the “Forms” tab: Complete the “Comprehensive Student Health History” form Download the “Immunization and TB Screening Form” Download the “Immunization Waiver Form” (if applicable) Under the “Upload” tab, scroll to the bottom to the drop-down list, and: Select any document(s) to upload: Examples: Front of insurance card (required), Back of insurance card (required), Copy of vaccination records (required), TB Screen Form (required), TB Skin Test/PPD Reading (required only if a TB skin test was administered), Immunization Waiver Form (if applicable), and Any other pertinent medical documentation you wish for us to have
Student%20Health%20Services%20Immunization%20Requirements%20Checklist.docx