Help Guide for Texas Students: Options for submitting valid proof of the Meningitis vaccine

Last Updated: Apr 18, 2014 02:25PM EDT
As a convenience, we make a Bacterial Meningitis Immunization or Exemption form available to students in their Magnus Health account.

All documentation outlined below will need to be sent directly to Magnus Health, not to the school or any department official.

Please make a selection from options 1-4:
  1. I need to submit proof of vaccine
  2. I need to submit a medical exemption
  3. I need to submit an affidavit
  4. I already have my own documentation


Option 1

Proof of Vaccination:
This portion of the form is for students who have been or will be vaccinated for Meningitis. Students who have not been vaccinated, can take this form to their provider. Have them fill out the form completely. If the student has been vaccinated but was not given proof of vaccination, the student may take the form back to the provider and have them fill out the form completely.

1. Fill in the first and last name, as well as the students date of birth.
2. Check which vaccine the student has been vaccinated for.
3. Place the administration date on the vaccine administered line that has been provided.



4. Make sure that the physician or personnel that provided the vaccine date, print their name, sign or stamp the student's form.


 
Tip: Uploading your records is the quickest way to submit them to your account. If you submit your documents by fax or mail, it will take one to two business days after they are received to process them, and load them to a student's account. To learn more click here
 

Option 2

Medical Exemption:
If it is the opinion of the physician or the provider that this vaccination would be injurious to a student's health and well-being, the provider or physician can fill out the Medical Exemption portion of our form.

1. Fill in the first and last name, as well as the students date of birth at the top of the form



2. Check the box next to, “Exemption from Immunizations for Bacterial Meningitis”
3. Have your provider select, “Permanent Medical Exemption” or “One Year Medical Exemption”. Please include the start date on the lines provided if the “One Year Medial Exemption” has been selected.



4. Make sure that the physician or personnel that provided the vaccine date, print their name, sign or stamp the student's form.


 
Tip: Uploading your records is the quickest way to submit them to your account. If you submit your documents by fax or mail, it will take one to two business days after they are received to process them, and load them to a student's account. To learn more click here
 

Option 3

Affidavit/Conscientious Objection Exemption
At the bottom of our form, there will be a link provided which will take you to information about the affidavits. The affidavit you will need and the way you can submit it depends on the school you are attending so you will need to use the link provided on the blank form in your account to 


Please note: Students requesting an affidavit from the state health department, should have the affidavit filled out signed and notarized prior to submitting it to Magnus Health.
Tip: Affidavits from the state health department can only be mailed in for submission. It will take one to two business days after they are received to process them, and load into a student's account. To learn more about your fax or mail cover sheet click here


Option 4

If you are going to submit your own documentation it will need to abide by the guidelines listed below:

1. Shot Record or Immunization Record
  • This document should have a signature or stamp of the physician, a designee, or the public health personnel who administered the immunization
  • The document can be generated by a state or local health authority or from another school, including those from another state.
2. Medical Exemption
  • This is a document or certificate signed by a physician. The Medical Exemption must state the physician's opinion that the vaccination would be injurious to the health and well-being of the student.
Tip: Uploading your records is the quickest way to submit them to your account. If you submit your documents by fax or mail, it will take one to two business days after they are received to process them, and load them to a student's account. To learn more click here

3. Conscientious Objection Exemption/Affidavit
  • This document is signed by the student stating that the student declines the vaccination for bacterial meningitis for reasons of conscience, including a religious belief. Have the form notarized by a notary public (fees may apply).
Tip:  Affidavits from the state health department can only be mailed in for submission. It will take one to two business days after they are received to process them, and load into a student's account. To learn more about your fax or mail cover sheet click here