WebMar 31, 2024 · These requirements include documented proof of immunity to measles, mumps, and rubella, varicella (chicken pox), tetanus, diphtheria, pertussis and hepatitis B, prior to registration at any college or university within the University System. Please click here for additional information from the Board of Regents. Required Immunizations WebHEALTH RECORD IMMUNIZATION RECORD VACCINATION AGAINST SMALLPOX (Number of previous vaccination scars) All entries in ink to be made in block letter PHYSICIAN'S NAME ... THIS RECORD IS ISSUED IN ACCORDANCE WITH ARTICLE 99, WHO SANITARY REGULATION NO.2 U.S.GPO:1997-427-590/69093 .
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WebA Medical Entrance Form and proof of required immunizations and tuberculosis screening must be on file with Stamps Health Services. Failure to provide this information may … Web6-Upload antibody titer reports; must be on lab letterhead or printed from an electronic medical record; must be in English and include definitive lab values with reference … rock-tenn converting co
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WebAll immunization records must be faxed directly to Health Services at 404-385-0329 with your GT ID number at the top of each page. 4. I have already submitted my … WebImmunization Records: Kansas Statewide Immunization Registry Email: [email protected] Kentucky Call: 502.564.0038 Web: Kentucky Immunization Registry Email: [email protected] L Louisiana Louisiana Call: 504.568.2600 Web: LINKS basics Department of Health State of Louisiana (la.gov) WebIMMUNIZATION RECORD . Standard Form 601--October 1975 (Rev.) General Services Administration & Interagency Committee on Medical Records FIRMR (4) CFR) 201-45.505. 601-105. ORAL POLIOVIRUS VACCINE. DATE DOSE. PHYSICIAN'S NAME DATE. DOSE PHYSICIAN'S NAME. 2 1. 4 3. INFLUENZA VACCINE. DATE. DOSE PHYSICIAN'S … ottawa hills income tax