Edit, Download, and Sign the James Madison University Immunization Form

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How do I fill this out?

To fill out the James Madison University Immunization Form, start by logging into MyJMUChart. Next, check your immunization status and follow the outlined instructions to complete each required section. Finally, ensure that the form is signed by a qualified health care provider before submission.

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How to fill out the James Madison University Immunization Form?

  1. 1

    Log onto MyJMUChart to check your immunization status.

  2. 2

    Complete the TB Assessment and necessary immunization documentation.

  3. 3

    Enter your insurance information in the form provided.

  4. 4

    Upload your immunization records if requested.

  5. 5

    Have the form signed by a health care provider before submission.

Who needs the James Madison University Immunization Form?

  1. 1

    All new undergraduate students must submit the form for enrollment compliance.

  2. 2

    Graduate students need this form to fulfill their health requirements.

  3. 3

    International students are required to provide immunization documentation per university policy.

  4. 4

    Athletes must complete this form to participate in sports programs.

  5. 5

    Students living on campus must submit the form for health safety measures.

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What are the instructions for submitting this form?

To submit the immunization form, email it to healthcenter@jmu.edu or fax it to (540) 568-7030. You can also upload your document through the MyJMUChart portal under the 'Upload' tab. For physical submission, mail the completed form to the JMU Health Center, 737 S. Main St., Harrisonburg, VA 22807. Ensure you submit the form before the due date to avoid penalties.

What are the important dates for this form in 2024 and 2025?

For undergraduate students, the immunization form is due by July 6, 2024, for the Fall 2024 semester and by January 5, 2025, for the Spring 2025 semester. Graduate students must submit the form no later than the third Friday of their first attending semester at JMU. Timely submission is essential to avoid enrollment holds and fees.

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What is the purpose of this form?

The purpose of the James Madison University Immunization Form is to ensure that all students meet the health requirements set by the university. This form collects essential immunization records and TB assessment information that are critical for maintaining a healthy campus environment. By submitting this form, students help protect their health and the health of others within the university community.

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

The form consists of various fields where students must provide personal health information and immunization records.
fields
  • 1. Date of Birth: A field for the student's birth date.
  • 2. Student ID Number: Unique identification number assigned to the student.
  • 3. Tetanus, Diphtheria vaccine: Field for documenting Tdap vaccination status.
  • 4. Hepatitis B: Field for documenting Hepatitis B vaccination.
  • 5. MMR: Field for measles, mumps, and rubella vaccination records.
  • 6. TB Assessment: Field for documenting TB assessment results.
  • 7. Signature: Field for the healthcare provider's signature.

What happens if I fail to submit this form?

Failure to submit the immunization form can lead to an enrollment hold on your account. Additionally, a fine of $50 will be assessed for non-compliance. Completing this form is crucial to avoid disruptions in your academic progress.

  • Enrollment Hold: You will not be allowed to register for classes until the form is submitted.
  • Financial Penalties: A $50 fine will be applied if the form is not submitted on time.
  • Health Risks: Not meeting immunization requirements can pose health risks to you and others.

How do I know when to use this form?

This form should be used by all incoming students at James Madison University before their enrollment. It is necessary for students to document their immunization status and TB assessment, which are critical for complying with health policies set by the university. Use this form whenever you receive a notification regarding immunization requirements from the university.
fields
  • 1. New Student Enrollment: Required for all new undergraduate and graduate students.
  • 2. International Student Compliance: For international students who must prove vaccinations.
  • 3. Health and Safety Compliance: Ensures overall health standards are met on campus.
  • 4. Athletic Participation: Mandatory for athletes before they can participate in sports.
  • 5. Housing Requirements: Necessary for students living in on-campus housing.

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