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Immunization Record

Immunization Form

Pursuant to Florida Board of Governors Regulation 6.001(9), prior to registration, each student accepted for admission at Florida Atlantic University must submit a signed FAU Immunization Form. Florida Atlantic University requires documented proof of immunizations to Measles and Rubella. In addition, pursuant to Florida Board of Governors Regulations 6.007, effective July 1, 2008, all new matriculating students must also provide documentation of vaccinations against Meningococcal Meningitis and Hepatitis B or provide a signed waiver for each declined vaccination.

Download and complete the FAU Immunization Form and return it to studentsuccess@fauglobal.com.

When completing the form please make sure that all signature lines are signed including the one in Box B under the waiver acknowledgement.