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Immunization Forms

Immunization Form

Immunization Policy

All new students (freshman, transfers, and others) attending regularly scheduled classes or receiving resident credit will be required to submit a Certificate of Immunization prior to attending classes.

Students who have previously attended a state public college/university are not exempt from this updated, revised immunization requirement.

The University System of Georgia [Board of Regents Policy 408.02] requires that all students provide proof of immunity to measles, mumps and rubella. Effective January 2005, new students are also required to provide proof of immunization to varicella (chicken pox), tetanus, diphtheria and, if 18 years of age or less at the time of classes, hepatitis B. The purpose of this policy is to ensure that students are protected against communicable diseases that are preventable and to reduce the likelihood of an epidemic or threatened epidemic on a Georgia public college/university campus.

Although admission decisions will be made without the UNG Certificate of Immunization form, no student will be allowed to register for classes until all immunization requirements are met. Because of the possibility that you may be required to receive a series of vaccinations, we strongly encourage you to begin making arrangements to have the UNG Certificate of Immunization form completed by a health official a few months prior to the beginning of classes. Medical records cannot replace the form.

* Note: These forms are in Adobe Acrobat format (.pdf). In order to view and print the forms, you will need to have Acrobat Reader version 5 or higher installed on your computer. If you do not have the Adobe Acrobat Reader version 5 or higher, you can download it for free.

Authorization for Release of Information

In order to send your immunization records to a third party health service or educational institution, please fill out the Immunization Release Form and return it to the campus where you originally submitted your immunization info.

Send your Immunization form and/or Authorization for Release of Information form to the appropriate office for your campus:
Campussend completed form to:For questions
Cumming, Gainesville, and Oconee Registrar’s Office Fax:  678-717-3966
Email:  immunizations@ung.edu
678-717-3965
Blue Ridge, Dahlonega Student Health Services Fax: 706-864-1448
Email: stuhealth@ung.edu
706-864-1948

**Please allow 48-hour notice for processing of immunization records.

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