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HCSD MMR Immunity Documentation
Please use this form to document your immunity to status for the Measles
First Name
(Required)
Last Name
(Required)
Email
(Required)
Your current home building
(Required)
--- Select One ---
HPS
ADE
AVY
BCN
BRN
BRT
HCR
DCR
HZN
HTE
JWR
NOR
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HST
HTH
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HMS
WMS
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COA
Transportation
SACC
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Aramark
Your documentation source
(Required)
--- Select One ---
Written documentation of two doses of the Measles, Mumps, and Rubella (MMR) vaccine
Laboratory Evidence via a positive blood test (titer) result
I was born prior to 1957
I am an HCSD graduate and requested my school records as my documentation
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Completed
Done
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Status
New
Follow Up
Verified
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Notes
Attach a picture or pdf of your documentation
Max. file size: 256 MB.
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