Immunization Form

Submit your completed immunization form.

The Board of Regents of the University System of Georgia (USG) requires that each new student beginning at any USG institution submit a Certificate of Immunization to the institution prior to enrollment. Before you will be allowed to register for any classes at Clayton State University, you must have this form completed and returned to the Office of Recruitment and Admissions. Failure to submit a completed Certificate of Immunization will result in a registration hold on your student record.

Your full immunization history must be transcribed onto this form. Please contact your current healthcare provider to transcribe your records; if your healthcare provider is unable or unwilling to do so, our University Health Services will transcribe your records or search the Georgia Registry of Immunization Transactions and Services (GRITS) for a fee of $5.00. For more information about this option, please contact University Health Services.

You can download a copy of the form and instructions here.                   

 

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