体检表

freecindyleeUID: 163559

请斑竹帮忙看看,要填这个表是不是就必须去接种疫苗?下面是学校发来的信,附件是我下载的表格.谢谢了:)

****doesn't need to bring anything with her except her immigration paperwork.  She does have to fill out the immunization form available at http://ogi.edu/graduate_edu/forms/immunization_form.pdf  but she doesn't need to bring her official immunization records with her.  




Immunization Form

In order to comply with Oregon law regarding a second measles vaccination for college students, every entering student who was born on or after January 1, 1957 must provide OGI with evidence of having received two doses of measles vaccine at or after their first birthday, with a minimum of 30 days between doses.  If month and year of first dose are not available, documentation of the second dose, in or after December 1989, must be provided.  Dates of immunization accompanied by the student’s signature will be accepted as evidence.


Name:
Last _______________________________  First  _________________  M.I.________

Birthdate ______________________ (month/date/year)


Vaccine History

Please check one box only:

I have had two doses of measles on or after my first birthday which were at least 30 days apart.
   
1st Dose Date __________ (Month/Year)                  2nd Dose Date ________ (Month/Year)

 I had my first measles immunization but do not know the date.  I had my second measles immunization in December 1989 or later.

2nd Dose Date _________________ (Month/Year)

Student Signature ____________________________________  Date ________
My signature affirms that the above information is accurate and complete.
  
Exemptions
        My measles (rubeola) titer report is attached and indicates I am immune to measles.
        A signed physician or nurse practitioner statement is attached indicating I had measles (rubeola) (date must be included).
        A signed physician or nurse practitioner statement is attached verifying I have a medical reason for not receiving the immunization.
        My religious beliefs prohibit my use of the immunization.  


Student Signature  ___________________________________  Date _________  
My signature affirms that the above information is accurate and complete.

littletunaUID: 2103060

如果发给你了，那么就要去接种疫苗了，接完后还要把表格填完整。

xgm2005flyingUID: 2134251

我们学校也发了。 但是有两种选择。一是让医生填好签字。二是提供证明。
我想我只要让医生签个字就行了吧？以前的证明都没有了。