UGA SCHOOL OF MEDICINE IMMUNIZATIONS
Every newly admitted student must complete and submit the following forms before advisement or registering for classes
Please submit all required forms before your advisement appointment, and keep a copy of your immunizations for your records.
Log into the Patient Portal, then click on “Insurance Details” in the left navigation bar.
This can be downloaded HERE.
PLEASE ALLOW UP TO 7 BUSINESS DAYS FOR HOLDS TO CLEAR AFTER SUBMITTING YOUR IMMUNIZATION PACKET!
Immunization Packet
Section 1: The Certificate of Immunization
Please fill out or attach GRITS (Georgia Immunization Registry) or other certified immunization record. If you provide a GRITS record or other certified immunization record you DO NOT NEED a healthcare provider’s signature. If you do NOT have a certified immunization record, and need to fill out Page 1, any healthcare provider’s signature is allowed. This can be a registered nurse, nurse practitioner, physician assistant, physician, pharmacist, Department of Public Health representative, etc.
Section 1: The Certificate of Immunization
Please fill out or attach GRITS (Georgia Immunization Registry) or other certified immunization record. If you provide a GRITS record or other certified immunization record you DO NOT NEED a healthcare provider’s signature. If you do NOT have a certified immunization record, and need to fill out Page 1, any healthcare provider’s signature is allowed. This can be a registered nurse, nurse practitioner, physician assistant, physician, pharmacist, Department of Public Health representative, etc.
Patient Agreement Form
If you are a student and will be under age 18 on the first day of classes: Please download and print the Patient Agreement Form and have your parents sign to give permission for the University Health Center to provide treatment. You must upload the printed and signed form to the Patient Portal (select “Immunization Upload”) before you can be seen for an appointment.
If you are a student and will be under age 18 on the first day of classes: Please download and print the Patient Agreement Form and have your parents sign to give permission for the University Health Center to provide treatment. You must upload the printed and signed form to the Patient Portal (select “Immunization Upload”) before you can be seen for an appointment.
Out Of State Student?
Use this form to access your state's immunization records.
Use this form to access your state's immunization records.
WHERE DO I SEND THESE FORMS?
Upload to UHC Patient Portal. Log in Select “Immunization Upload” from the left column. Upload Immunizations and TB Screening Form.
Email to uhcrhism@uga.edu
Fax to 888-218-9658