Download the Student Immunization Form
Student Immunization Form
Records of completed immunization must be filed with 91视频鈥檚 Health Office in order to safeguard your health and the health of the entire community. As prevention is key to avoiding risk, you are expected to provide proof of the following immunizations as a student at 91视频:
The penalty for failing to comply with our immunization policy is administrative suspension, which would prevent you from enrolling in the following semester.
Please refer to the聽Student Immunization Record聽[docx]聽form or the 91视频 Health Office for further details. 91视频鈥檚聽immunization compliance deadline is聽August 19 for the fall semester and December 31 for the spring semester.聽Students who wish to apply for an exemption, please fill out the聽Immunization Waiver Request [doc].听
If you have questions, please聽take a look at our FAQ guide [pdf]聽first before contacting your Admissions Counselor or 91视频's Health Office.
Student Immunization Form