Lafayette, LA 70504-3692 Phone: 337482-1293 Fax: 337482-1872 Email: immunizations@louisiana.edu . University of Louisiana at Lafayette Online The Secretary of State's office offers an outgoing fax service by customer request. 104 University CircleTel: 337.482.5555Email: online@louisiana.edu, The baccalaureate and graduate degree programs in nursing at the University of Louisiana at Lafayette are accredited bythe Commission on Collegiate Nursing Education, 655 K Street, NW, Suite 750, Washington, DC 20001, 202-887-6791. By verifying a student's immunization status, Student Health Services' responsibility in managing health care for students begins before students arrive on campus. Box 94125, Baton Rouge, LA 70804, faxed to 225.932.5313 or online through our Commercial Database. There areseveral optionsforrequestingvaccination records in Louisiana: Option 1:Register forMyIRMobile Website, Signing up for LA MyIR provides Louisiana residents the ability toaccess, review, and print your officialvaccination recordswithout requesting them from a doctor. Requests should include a credit card number, with the expiration date, a return address, and a contact person's name and telephone number. To run state reports, authorized users can click the Reports > State Reports link. People who sign up for LA.MyIR.net who are unable to access their records should ask their immunization provider to enter their records into LINKS. Patients whose immunization records were already stored in LINKS will be able to access their records through LA.MyIR.net. Copies of documents on file will be faxed for the customary cost of the service plus a fax fee of $1 per page. Identify students who are missing required immunizations and 17:170/Schools of Higher Learning Please return the completed form to: University of Louisiana at Lafayette; Student Health Service: PO Box 43692, Lafayette, LA 70504-3692, Fax: 337-482-1873 Aud;'tadr0k''wjf6e>R Y)^41Ml. and is recognized among U.S. News and World Reports Best Online Programs. The formsfurnished by the Secretary of State are available. In addition, any student admitted to a postsecondary education institution for the Fall 2006 semester and thereafter is required to submit proof of a meningitis vaccine. Immunization Policy Each child must have a completed "Child-Care-Preschool Certificate of Immunization" on file as required by State Licensing. The program was authorized through Act 192, signed into effect by Louisiana Governor John Bel Edwards on Thursday, June 11. Printed name of clinical personnel evaluating student: Signature of evaluating healthcare provider: Date: Fax form and documents to (337)482-1872 or scan and email to immunizations@louisiana.edu prior to starting semester at UL Lafayette. Documents may be delivered for processing on a non-expedited basis. These printed records are accepted by schools, employers, state agencies and other organizations that require proof of immunization. If you do not have a medical insurance plan, we will work with you to help youwith any bills you may receivefor services provided at Student Health Services. Please try to arrive by 4:00 p.m. to give the employees enough time to complete the filing. 0 PDF Immunization Forms 2020 - University Connection Forecast (Universal Certificate of Immunization) (Louisiana) These printed records are accepted by schools, employers, state agencies and other organizations that require proof of immunization. the file type below to install the necessary software: 31 0 obj <> endobj 61 0 obj <>/Filter/FlateDecode/ID[<3AEE238AEA8A4639ACD2AE7098206F34>]/Index[31 54]/Info 30 0 R/Length 135/Prev 253531/Root 32 0 R/Size 85/Type/XRef/W[1 3 1]>>stream Examples ofcustom searches are: The minimum fee for a query is $25 for the first 40 entity records and 1 cent a record for any additional. 17:170/Schools ofHigherLearning Student Health Services: P.O. "Graduation is a time of completion, of finishing, of an ending, however, it is also a time of celebration of achievement and a beginning for the new graduate." State of LA Universal Certificate of Immunizations X: LA: Batch Print Official Records of Immunization WY Official State Record of Student Immunization (Group Printing) IN: Absentee Report X: X: IN, WY, AK, AZ: Facilities Not Reporting X: IN, LA, WY, AK, AZ, WA: School Submission Report X: IN, LA, WY, AK, AZ, WA: State of Louisiana Universal . with a graduate certificate that reflects your passion. This account can be personalized for each family member. Box 41208, Lafayette, LA 70504-1208 (337) 482-6291 | our@louisiana.edu Contact Us The Office of the University Registrar provides an array of services and informationrelated to Academic records, Registration, Transfer Credits, Grade Transcripts, and Commencement. The fee for a copy of an individual document is $15. The University of Louisiana at Lafayette and the State of Louisiana Law recognize that outbreaks of communicable diseases cause significant disruption and stress to students and families on a college campus. BATON ROUGE, La. hb``a``b`a`8 @qD_-sN) 9@y0 V All expedite fees are in addition to the required filing fee. Identify children who are missing required immunizations and UL Lafayette is aCarnegie R1 institutionand is recognized among U.S. News and World Reports Best Online Programs. Refer to our Student Insurance page for more information about recent changes in federal law regarding medical insurance. Lafayette, LA 70504-3692 Phone: 337482-1293 Fax: 337482-1872 Email: immunizations@louisiana.edu . "T`8 ]{1qT9s0#4p/)DZE!6JN#NE0Sp%DIIx*th"1`G"[F" Transcripts are one of the most requested items, but our office also assists with enrollment and degree verification, updating personal information, and much more. You must either have a physician or health care provider complete Section A or submit the Universal Certificate of Immunizations provided by the PDF PROOF OF IMMUNIZATION COMPLIANCE Page 1 of 2 - Office of Student Health Free software is required to view some content on this site. -'XAmD|D#rsOy=szrD^\V-g)'OGgq7. Sections A (and/or B) & C must be completed. y. 3 State Health Department Immunization Websites, Coordinators, and Mandates Immunization Guide for Louisiana Daycares and Early Learning Centers, 2022-2023 . If you have any concerns or questions, please call (337) 482-1178 or see our Frequently Asked Questions for Immunization Compliance. Sections A (and/or B) & C must be completed. H\_k@|ylJ4s Louisiana Immunization Program - Office of Public Health . For Schools & Daycares/Early Learning Centers. State Reports - Washington Whether you need to request a transcript or verifya degree, the Office of the University Registrar is here to help. h[OFUZ!Yv]. "lI$dQ> TZ}p*7&C;v}e&C8u},\5ioivy\#LpY-!v=]pnrm8\>/{}71b~^Rp&?ZktU*PX[g3^ y7[{\\Kr %W{{{O`!X We want to remind residents, especially parents, that immunization records are available online in the event that they need their childrens immunization records for school or recreational activity registration. LA.MyIR.net is also useful for anyone seeking to track their or their familys immunization boosters and yearly vaccines, like the flu shot, and is an efficient way to share vaccine information when visiting a new healthcare provider for the first time. E^@X% 7g2sA@L@wa`+[ m University of Louisiana at Lafayette Office of the University Registrar P.O. See Schedule a Report for more information. LA.MyIR.net is a simple, convenient and secure way for state residents to access their immunization records anytime, anywhere they need them, said Dr. Alex Billioux, assistant secretary of the Office of Public Health.. This program will serve as a way to improve immunization rates throughout the state, reduce the administrative burden of immunization records requests for healthcare providers and empower patients to take greater control over their health.. The University will release more information about these steps in the coming days. Louisiana state law (RS 17:170---Schools of Higher Learning) requires proof of immunization against measles, mumps, rubella, and tetanus-diphtheria for all first-time students born on or after January 1, 1957, and for re-entering students born on or after January 1, 1957, who have been out of school for one semester or longer. Learn more about vaccine and immunization requirements. Requests for name reservations, certified copies and certificatesmay be made by fax. The Office of the University Registrar maintains student academic recordswith integrity, security,and confidentiality. Louisiana Business Filings, Filing or Locating an Agent for .@9o(V PK ! PDF Immunization Guide for Louisiana Schools It is also required that each child's immunization records indicate that immunizations are current according . OS)z University of Louisiana at Lafayette Office of the University Registrar P.O. LA.MyIR.net is part of a pilot program funded and supported by the U.S. Department of Health & Human Services Office of the Chief Technology Officer (OCTO), the Centers for Disease Control and Prevention (CDC) and the National Vaccine Program Office. Requests submitted by mail must be accompanied by a check or money order made payable to the Secretary of State. LA.MyIR.net is available for free to all state residents, and allows them to securely view, download and print official copies of their immunization records on demand. Requests received after regular office hours will be processed on the next business day. The Office of the University Registrar is here to assist studentsthroughout the registration process. at the University of Louisiana at Lafayette. The program was authorized through Act 192, signed into effect by Louisiana Governor John Bel Edwards on Thursday, June 11.