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Important! Do Not Delay!

Important! Do Not Delay! The UCF Mandatory Immunization Health History Form is REQUIRED prior to Class Registration at UCF. Health Information Management Department University of Central Florida 4098 Libra Drive, Orlando FL 32816-3333. PHONE: or Please read this entire document carefully as incorrect form submissions may result in delays! 1. UCF will accept official state immunization forms, issued by local health departments, stamped high school transcripts, military immunization forms, and physician's office records (signed and stamped) in conjunction with completing the UCF Mandatory Immunization Health History form. If you have supporting documentation, attach it to a completed UCF Immunization form.

Meningococcal B Serogroup (Bexsero/Trumenba) Covid -19 (Johnson & Johnson , Moderna, Pfizer) DO NOT WRITE HERE / DO NOT WRITE HERE / DO NOT WRITE HERE . An official stamp from a doctor's office, clinic, or Health Department AND an authorized signature must appear on this form or on the official document(s) attached in order to be accepted.

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  Meningococcal, Serogroup, Serogroup b meningococcal

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