Immunizations

Forms

Get help using 'Forms'

  • Ungrouped

    Name Description Status Source
    Release of Information - Authorization
    DO NOT COMPLETE THIS UNLESS YOU ARE REQUESTING RECORDS FROM DU'S WELLNESS CENTER
    		Required Authorization for Release of Health Information.pdf Edit Release of Information - Authorization Delete Release of Information - Authorization
    Immunization Certificate

    Please use this form to take to your doctor to complete. When completed you can enter and upload this form to comply with Dominican's immunization requirements at Wellness Center Online.  Login with your Dominican Credentials, go to Immunizations and enter your required immunizations. Then upload an image of your document under the Upload tab.

         		Required ImmunizationCertificate (Jul2016).pdf Edit Immunization Certificate Delete Immunization Certificate
    While focused on a reorder icon, press the Enter key or spacebar to "select" the icon. While a reorder icon is selected, pressing the up and down arrows will change the order of the selected item within the list. Pressing Enter key or spacebar again will drop the selected item at that location in the list.
While focused on a reorder icon, press the Enter key or spacebar to "select" the icon. While a reorder icon is selected, pressing the up and down arrows will change the order of the selected item within the list. Pressing Enter key or spacebar again will drop the selected item at that location in the list.