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  1. Home
  2. Student Health Services
  3. Medical History & Immunization Recommendations
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Medical History & Immunization Recommendations

  1. Welcome Letter and Instructions for Completing your Health Forms
  2. Student Admission Health Recommendations
  3. Health History Record
  4. Physical Examination Form
  5. Immunization Record
  6. TB Screening Questionnaire
  7. Declination to receive Immunization
  8. Meningococcal Letter to Students and Parents
  9. California State Required Meningitis Awareness Disclosure Form
  10. Summary of Notice of Privacy Practices

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  • Medical History & Immunization Recommendations
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  • Insurance Plan Coverage Summary
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  • Women’s Health

Health Resources

  • Coronavirus
  • Influenza
  • Measles
  • Meningitis
  • West Nile Virus
  • Student Health Insurance

1950 Third Street
La Verne, CA 91750

(909) 593-3511

Campus Safety:
(909) 448-4950

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