Medical History and Immunization Form USF
This form is necessary for students at the University of South Florida to provide medical history and immunization details. It is a crucial document that must be completed and submitted prior to course registration to ensure compliance with university health regulations. This form helps maintain a safe educational environment by confirming vaccination status.
Edit, Download, and Sign the Medical History and Immunization Form USF
Form
eSign
Add Annotation
Share Form
How do I fill this out?
Filling out the Medical History and Immunization Form requires careful attention to detail. Begin by providing your personal information, including your name, birthdate, and contact details. Make sure to follow the instructions for immunizations and screenings closely to ensure all required information is accurately reported.

How to fill out the Medical History and Immunization Form USF?
1
Obtain official vaccination records and lab reports.
2
Complete your personal information at the top of the form.
3
Fill in the immunization details, including dates and results.
4
Check for required signatures from guardians if under 18.
5
Submit the form through the prescribed channels by the deadline.
Who needs the Medical History and Immunization Form USF?
1
Incoming students who need to register for courses.
2
International students who must comply with health requirements.
3
Students in academic health programs that mandate vaccinations.
4
Parents/guardians of minors who need to sign the form.
5
Students who need to provide a record of their vaccinations.
How PrintFriendly Works
At PrintFriendly.com, you can edit, sign, share, and download the Medical History and Immunization Form USF along with hundreds of thousands of other documents. Our platform helps you seamlessly edit PDFs and other documents online. You can edit our large library of pre-existing files and upload your own documents. Managing PDFs has never been easier.

Edit your Medical History and Immunization Form USF online.
You can edit the Medical History and Immunization Form easily using PrintFriendly. Simply upload your PDF and make necessary changes directly within the editor. This feature allows you to customize the form by adding or modifying information as needed.

Add your legally-binding signature.
Sign the Medical History and Immunization Form on PrintFriendly with our signature tool. This enables you to add your digital signature directly to the form. Signing digitally is a quick and convenient way to ensure your submission is complete.

Share your form instantly.
You can share the Medical History and Immunization Form directly from PrintFriendly. Simply generate a shareable link or send it via email to relevant parties. This makes it easy to ensure that your completed form reaches the necessary recipients.
How do I edit the Medical History and Immunization Form USF online?
You can edit the Medical History and Immunization Form easily using PrintFriendly. Simply upload your PDF and make necessary changes directly within the editor. This feature allows you to customize the form by adding or modifying information as needed.
1
Upload the Medical History and Immunization Form to PrintFriendly.
2
Click on the sections you wish to edit to modify information.
3
Use the toolbar to add text, delete sections, or highlight important information.
4
Review the changes made for accuracy before finalizing.
5
Download the edited PDF or send it directly from PrintFriendly.

What are the instructions for submitting this form?
Submit the completed Medical History and Immunization Form to the Student Health Services at the University of South Florida, either via the Admissions portal or by physical mail. For physical submissions, send to: Tampa/Sarasota Campus, Student Health Services, 4202 East Fowler Avenue, SHS100, Tampa, FL 33620-6750. For immediate concerns, you may contact them at Phone: (813) 974-4056 or Fax: (813) 974-5888.
What are the important dates for this form in 2024 and 2025?
The Medical History and Immunization Form must be submitted at least three weeks prior to orientation and course registration for Fall 2024. Keep an eye on any specific deadlines communicated by the university for Spring 2025 to ensure compliance.

What is the purpose of this form?
The purpose of the Medical History and Immunization Form is to gather essential health information from students to ensure a safe and healthy campus environment. This form facilitates the university's compliance with state health regulations regarding immunizations for new students. By collecting vaccination records, the university strives to minimize the risk of outbreaks of preventable diseases on campus.

Tell me about this form and its components and fields line-by-line.

- 1. Name: The student’s full name.
- 2. Birthdate: The student's date of birth.
- 3. Email: A valid email address for communication.
- 4. Phone #: Contact phone number.
- 5. USF ID #: The student’s unique ID assigned by the university.
- 6. Immunizations: Details of required immunizations.
- 7. Parent/Guardian signature: Signature of a parent or guardian if the student is under 18.
What happens if I fail to submit this form?
Failure to submit the Medical History and Immunization Form can result in the inability to register for courses. The university requires this form to ensure compliance with health regulations, and without it, students may face administrative delays. It is crucial to submit all required documentation on time to avoid any disruptions in academic pursuits.
- Course Registration Issues: Students will not be allowed to register for classes without this form.
- Health Risks: Incomplete immunization records can lead to health risks both for the individual and the community.
- Delayed Processing: Late submissions may result in delays in processing student records.
How do I know when to use this form?

- 1. Applying for Enrollment: Students must complete this form as part of their application.
- 2. Prior to Course Registration: This form is essential before students can register for classes.
- 3. For Health Compliance: To ensure the university complies with health regulations regarding vaccinations.
Frequently Asked Questions
What is the Medical History and Immunization Form?
It is a required document for students at USF to provide their immunization history and medical information.
Who needs to fill out this form?
All incoming students, especially those in health programs, must complete this form.
How can I edit the form?
You can edit the form by uploading it to PrintFriendly and using the editing tools available.
What should I do if I don't have vaccination records?
Contact your previous healthcare provider or local health department to obtain them.
How can I submit the form?
The form can be submitted online, via fax, or in person at designated campus offices.
Do I need my parent's signature?
Yes, if you are under 18, a parent or guardian must sign the form.
What happens if I miss the submission deadline?
Late submissions may prevent course registration, so it's vital to meet the deadlines.
Can I upload the form online?
Yes, you can upload it through the Admissions portal or My Bulls Path portal.
Is there a cost to obtain vaccinations if needed?
Costs may vary depending on the provider, check with local clinics for specifics.
How do I keep a copy of the form?
You should print a copy before submission or download it after editing on PrintFriendly.
Related Documents - USF Immunization Form

Preparticipation Physical Evaluation Form
The Preparticipation Physical Evaluation Form is used to assess the physical health and fitness of individuals before they participate in sports activities. It covers medical history, heart health, bone and joint health, and other relevant medical questions.

Health Insurance Tax Credits Guide 2015
This document provides a comprehensive guide on health insurance and premium tax credits for the 2015 tax year. It explains the tax filing rules, eligibility criteria, and detailed instructions for claiming and reporting premium tax credits. Essential for individuals who bought health insurance through the ACA Marketplaces.

TSP-77 Partial Withdrawal Request for Separated Employees
The TSP-77 form is used by separated employees to request a partial withdrawal from their Thrift Savings Plan account. It includes instructions for completing the form, certification, and notarization requirements. The form must be filled out completely and submitted along with necessary supporting documents.

Ray's Food Place Donation Request Form Details
This file contains the donation request form for Ray's Food Place. Complete the general information section and follow the guidelines to submit your donation request at least 30 days in advance. The form includes fields for organization details and donation specifics.

Pastoral Ministry Evaluation Form for Board of Elders
This evaluation form is designed for the Board of Elders to assess and provide feedback on a pastor's ministry. It aims to offer affirmation and identify areas for improvement. The form covers preaching, worship leading, pastoral care, administration, and more.

Health Provider Screening Form for PEEHIP Healthcare
This file contains the Health Provider Screening Form for PEEHIP public education employees and spouses. It includes instructions on how to fill out the form for wellness program participation. The form collects personal, medical, and screening details to assess wellness.

Common Law Marriage Declaration Form for FEHB Program
This form is used to declare a common law marriage for the purpose of enrolling a spouse under the Federal Employees Health Benefits (FEHB) Program. It requires personal details, marriage information, and additional documentation. Submission instructions and legal implications are included.

MyPRALUENT™ Enrollment Form Instructions and Details
This document provides comprehensive instructions and details for enrolling in the MyPRALUENT™ program, including benefits, patient assistance, and clinical support. It outlines the required patient, insurance, and prescriber information, as well as the steps for treatment verification and household income documentation.

Application for Certified Copy of Birth Certificate
This form is used to request a certified copy of a birth certificate from the Clerk of Court Office. It includes details about the applicant, the person named on the certificate, and requires a photo ID and the correct fee. This form is only for walk-in services.

Torrance Memorial Physician Network Forms for Patients 18+
This file contains important forms for patients 18 years and older registered with Torrance Memorial Physician Network. It includes patient registration, acknowledgment of receipt of privacy practices, and financial & assignment of benefits policy forms. Complete these forms to ensure your medical records are up-to-date and to understand your financial responsibilities.

Vodafone Phone Unlocking Guide: Steps to Unlock Your Phone
This guide from Vodafone provides a step-by-step process to unlock your phone. Learn how to obtain your unlock code by filling out an online form. Follow the instructions to complete the unlocking process.

Texas Automobile Club Agent Application Form
This file is the Texas Automobile Club Agent Application or Renewal form, which must be submitted within 30 days after hiring an agent. The form includes fields for agent identification, moral character information, and requires signature from both the agent and an authorized representative of the automobile club. Filing fees and submission instructions are also provided.