²ÝÁñÊÓƵ Certificate of Immunization Form

Students may use this form to have their physician report their immunization record. Non-US Citizens should also have their physician complete the Tuberculosis Screening on Page 3 of the form.

²ÝÁñÊÓƵ Certificate of Immunization Form

Release of Immunization Records Form

You can request a copy of your immunization record on file at ²ÝÁñÊÓƵ by clicking on the appropriate button below. If you are currently enrolled at ²ÝÁñÊÓƵ, please use the Current Student Immunization Release Form button. If you have not attended ²ÝÁñÊÓƵ the past three semesters, please use the
Past Students/Alumni Immunization Release Form button.

Immunization Exemption Form

This form may exempt you from the immunization requirements if you have religious objections or cannot be immunized due to medical reasons.

Meningitis Statement Form

You will need to submit this form prior to moving into ²ÝÁñÊÓƵ on-campus housing.

Office Location/Hours

Office of the Registrar
²ÝÁñÊÓƵ Hall

Mail or Hand Deliver Documents

Office of the Registrar
585 Cobb Avenue NW
Room 1533, MD 0116
²ÝÁñÊÓƵ, GA 30144

Hours:
Monday through Friday
8:30 a.m. - 4:30 p.m.

Please allow 3-5 business days for processing.