Ccny meningitis form
WebMedical Records. Health & Wellness Services. Campus Center (1C), Room 112. 718.982.3045. You must provide proof of 2 doses of measles, 1 dose of mumps,1 dose of rubella and 1 dose of meningococcal vaccines. You may opt to sign the meningitis refusal form instead of receiving the vaccination. Please return the completed Immunization … http://citytech.cuny.edu/admissions/docs/meningitis_response_form.pdf
Ccny meningitis form
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WebMeningitis Form For graduates of NYC High Schools with MMR vaccines in CUNYFirst or transfers from another CUNY college or continuing students whose meningitis expired. Zoom zoom zoom zoom zoom zoom zoom … WebJul 6, 2024 · After reading the form that provides critical facts about meningococcal disease, select one of the two checkboxes to create a record of your decision …
WebTo release the Missing Meningitis Form service indicator immediately so you can register for classes as soon as possible, select the second or third option. Step 6 . Your last step … WebPart 1: Meningococcal Meningitis To be completed by the student . Instructions: Please check one box in Section A below and sign and date in Section B A.. I have (for students under the age of 18: “My child” has): had meningococcal immunization within the past 5 years. The vaccine record is attached.
WebSubmit a PDF via email to [email protected]. If you graduated from a New York City public high school, we already have your immunization history. Please complete only the Meningitis Acknowledgement (Part 3). If you don’t have access to your vaccination records, contact BMCC Health Services at (212) 220-8256 or by email (listed above). WebOnly immunizations entered into the CIR by medical staff will be listed. It is possible that the record is incomplete if medical office staff did not input your vaccines. For more information please call the Health Services Office at (718) 518-6542, the Wellness Office at (718) 518—4483, or email [email protected].
WebMENINGOCOCCAL MENINGITIS Part 2: To be completed and signed by student or parent/guardian for students under the age of 18 Instructions to the student: Please see reverse side, sign and date Part 2 I have read the information, and I received the vaccine on: I have read the information, and I will not receive the vaccine:
WebSubmit a PDF via email to [email protected]. If you graduated from a New York City public high school, we already have your immunization history. Please … community health care salishanWebIn order to register for classes you must show proof of immunization against measles, mumps and rubella and indicate receipt of meningitis information. You will not be permitted to register until you submit this proof to Hunter College's Immunization Records office, located on the 3rd Floor in the North building, Room 307. Immunization Requirements community healthcare system northwest indianaWebThe Immunization Record form is completed and signed by the student ONLY. If the student is less than 18 years then the parent/guardian signs the form. ... Download Fillable CUNY Immunization Record Form & Meningitis Fact Sheet 04182024.pdf — 809 KB. Email [email protected] if you need assistance. Follow us on twitter … community healthcare system onagaWebliving in dormitories or resident halls, have been found to have an increased risk for meningitis. A vaccine is available that protects against four types of the bacteria that cause meningitis in the United States —types A, C, Y and W-135. These types account for nearly two thirds of meningitis cases among college . students. community healthcare system employeeWebPart 1: Meningococcal Meningitis Instructions: Please check one box in Section A below and sign and date in Section B A. I have (for students under the age of 18: “My child” has): Had meningococcal immunization within the past 5 years. The vaccine record is … easy rider taxi swindonWebAn acknowledgement of meningococcal meningitis risks and refusal of meningococcal meningitis immunization signed by the student or student’s parent or guardian. These … community healthcare system munster inWebMeningococcal Meningitis To be completed by the student Instructions: Please check one box in Section A below and sign and date in Section B A. I have (for students under the … community healthcare system onaga kansas