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Health/Immunization Form

Wisconsin law [SS 36.25 (46)] requires students who live in a University Residence Hall to affirm whether they have received vaccination against meningococcal disease and hepatitis B, and to provide the dates of vaccination if any. The University Health Services has a health record form for students to complete which is confidential and will be retained by University Health Services. Students are required to affirm this information before they move into the University Residence Halls by visiting the University Health Services website.