Immunization Form
The FAU Immunization Form is available for download and printing in PDF Format only. In order to view and print this form, you need to have the Adobe Acrobat Reader installed on your system. You may download the freely available Acrobat Reader software from Adobe Systems Inc. Versions of Acrobat reader run on DOS, Windows, Macintosh and Unix systems. Download the Acrobat Reader from the Adobe Web page. If you encounter problems in downloading the Adobe Acrobat reader, installing or using the program, click here.
The form consists of four pages and should be read carefully. All students must complete the demographic information at the top of the form and sign in Section D. Students under the age of 18 must also have a parent/guardian sign in Section D.  Students born after 1956 must have Sections A and B completed by a physician if official immunization documents are not attached to the form. Students (or their parent/guardian if the student is under the age of 18) must sign in Section B if they do not have documentation of vaccination against Meningococcal Meningitis and/or Hepatitis B and elect to waive either or both of those vaccines.
How To Submit the Immunization Form
The completed form should be mailed to Florida Atlantic University, Student Health Services Immunization Office, 777 Glades Road, SU80, Room 114, Boca Raton, FL  33431 or faxed to 561-297-2769.  If you have any questions, phone 561-297-0049.

 Last Modified 12/19/14