Edit, Download, and Sign the Health Immunization Clearance Form - University of Hawaii
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How do I fill this out?
Filling out the Health Immunization Clearance Form is straightforward. Begin by entering your personal information accurately. Make sure to provide the necessary immunization dates and obtain the required signatures.

How to fill out the Health Immunization Clearance Form - University of Hawaii?
1
Download the Health Immunization Clearance Form.
2
Fill in your personal details including name, birth date, and contact information.
3
Complete the immunization history section with accurate dates.
4
Sign the form and obtain the necessary signatures from a licensed healthcare provider.
5
Submit the completed form to the Admissions and Records Office.
Who needs the Health Immunization Clearance Form - University of Hawaii?
1
New students enrolling at the University of Hawaii require this form to ensure compliance with health regulations.
2
International students must fill this form to verify their health status for enrollment.
3
Students residing in on-campus housing need this form to meet health clearance requirements.
4
Those seeking medical services on campus must submit this form for treatment eligibility.
5
Parents or guardians of minors enrolling in the university must complete this form for their child's health clearance.
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Click on any field to edit and enter your information.
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What are the instructions for submitting this form?
Once you have completed the Health Immunization Clearance Form, submit it to the Admissions and Records Office at the University of Hawaii. You can deliver the form in person or send it via email to admissions@uh.edu. Ensure that the form is submitted before the enrollment deadline to secure your place in classes.
What are the important dates for this form in 2024 and 2025?
Important dates for the Health Immunization Clearance Form typically fall before the beginning of each semester. Ensure to submit this form at least one month prior to enroll for Fall 2024 or Spring 2025 to avoid registration issues. Stay informed about any updates related to submission deadlines by checking the university's website.

What is the purpose of this form?
The Health Immunization Clearance Form is designed to ensure that all students at the University of Hawaii meet the immunization requirements set forth by the state. This form is vital for maintaining the health and safety of the student body and preventing outbreaks of vaccine-preventable diseases on campus. By submitting this form, students demonstrate their commitment to their personal health and the well-being of the community.

Tell me about this form and its components and fields line-by-line.

- 1. Student Name: Full name of the student for identification.
- 2. Birth Date: Date of birth of the student.
- 3. UH ID: Unique identification number assigned to the student by the university.
- 4. Immunization Details: Records of all required immunizations with dates administered.
- 5. Signature of Practitioner: Signature and stamp from a licensed healthcare provider verifying the information.
What happens if I fail to submit this form?
If the Health Immunization Clearance Form is not submitted, students may face registration holds that prevent them from enrolling in classes. This could lead to delays in starting their education or complications in securing on-campus housing. It is crucial for students to ensure the form is completed and accepted by the Admissions and Records Office to avoid such issues.
- Registration Issues: Students will be unable to register for classes without submitting this form.
- Housing Complications: Failure to submit can hinder the process of securing on-campus housing.
- Health and Safety Risks: Incomplete health records may pose risks to the community and could lead to disease outbreaks.
How do I know when to use this form?

- 1. New Student Enrollment: Required for all new students to commence their studies.
- 2. Residence in On-Campus Housing: Mandatory for students who will be living on campus.
- 3. Access to Health Services: Needed for students seeking medical assistance at the university's health center.
Frequently Asked Questions
What is the purpose of this form?
The form is used to verify that students meet the health immunization requirements before enrollment.
How do I download this form?
You can download the Health Immunization Clearance Form directly from the PrintFriendly interface.
Who can sign this form?
A U.S. licensed medical practitioner must sign the form to validate the health assessments.
What if I have missing immunizations?
You should consult your healthcare provider to obtain the necessary immunizations before submitting the form.
Can I edit the form after filling it out?
Yes, PrintFriendly allows you to edit any field in the PDF as needed.
What happens if I don’t submit this form?
Failure to submit the form will prevent you from registering for classes at the university.
Can I share the filled form with others?
Yes, you can easily share the completed form via email or by generating a shareable link.
What type of immunizations are required?
The form specifies various immunizations including Tdap, MMR, and Varicella.
Is there a deadline for submission?
It is advised to submit the form as soon as possible to avoid registration delays.
How can I get additional information about immunization exemptions?
For exemptions, consult the Admissions and Records Office for the proper forms and guidelines.
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