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- Health History and Authorization Form 11-2024- to
- To be completed by student.
- If under 18**, the form must be completed as described below, AND the parent must upload a copy of their driver’s license for proof of electronic signature
- Proof of a Physical Examination 11-2024– proof
- Proof of a general physical exam, dated within the last 12 months of move-in date
- Immunization Records 11-2024–
- Proof of TWO MMR (Mumps, Measles, Rubella) vaccines OR proof of immunity via a blood test (“titers”).
- Proof of a Meningococcal ACWY Vaccine dated within FIVE years of move-in date.
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- Proof of Hepatitis B vaccine, or signed waiver – see instructions listed below under
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- 5.
How to complete your FORMS:
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1. Log into portal: https://lynn.studenthealthportal.com
2. Go to the red banner at the top of the page, under the heading and select PENDING FORMS.
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3. Then select the blue link: SH Health History and Authorization Form 11-2024
4. Complete Complete the whole form all the way down to Consent to Treatment and SUBMIT.**
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Ensure the whole form is completed, including Consent to Treatment and SUBMIT
** If you are under 18: Ensure to complete the section that requires parents driver’s license upload
5. Once completed and submitted, move on to the next blue link: SH Immunization Record 11-2024
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Complete this whole form and you will be allowed to upload documents for proof at the end
6 6. Once all records of immunizations have been uploaded and logged, move onto the next blue link: SH Physical Form 11-2024
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QUESTIONS: email StudentHealth@lynn.edu or call +1 (561) 237-7231
7 7. Upon completion of all submissions as outlined above, you may click “SUBMIT”, in Workday, to acknowledge this task was completed outside of the Workday process.
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