IMMUNIZATIONS                                                                                     DOWNLOAD IMMUNIZATION FORM
DOWNLOAD MENINGITIS FORM

All students who register for six or more credits/equivalent credits, and are born after January 1, 1957, are required to provide proof of immunity against measles, mumps, rubella (MMR) and meningococcal/meningitis or a signed response to receipt of meningococcal meningitis disease and vaccine information.

Requirements of attendance at a post-secondary institution regarding immunization for measles, mumps, rubella and meningococcal disease are in accordance with Public Health Laws 2165 and 2167.

1.) The Immunization Record form outlines the specific immunization requirements that must be met. Download: IMMUNIZATION FORM

2.) Student Health Services provides vaccination free of charge for measles, mumps and rubella prior to registration.

3.) Students under the age of eighteen (18) must have a consent from a parent/legal guardian in order to be immunized.

4.) Immunization records are required at least two weeks prior to registration. You may also fax your records to (212) 650-8227. Please call Student Health Services and Counseling Center at (212) 650-8222 to confirm that your fax was received. Even if your mail or fax your records, please be sure to bring a copy of this important information with you on the day of registration.

Proof of immunization consists of the following:

• A certificate of immunization signed and stamped by your health care provider. MMR (measles, mumps, rubella) - Given as a combined dose instead of individual immunizations. Dose 1 after the first birthday and Dose 2 after 1972 and at 5 years or older OR Live Vaccines.

• You must show proof of two (2) Measles, one (1) Mumps and one (1) Rubella.  The measles vaccines must be given after the first birthday and the second at least one month apart. Any vaccines given prior to 1968 must be clearly identified as being live vaccines.

• Serologic testing (TITRE) showing positive immunity with laboratory results.

• A student health record from a previously attended school, which properly documents your immunization history.

• Documentation, which proves you have attended secondary school in the United States after 1980, such as a U.S. High School Diploma, will be sufficient proof you have received one dose of live measles virus vaccine.

• Documentation verifying your date of birth prior to January 1, 1957 (a copy of your driver’s license, birth certificate, passport).

• Veteran honorable discharge documents and/or records.

• Medical Exemption Requirements: A licensed medical provider must certify that you have a health condition, which is a valid contraindication for receiving a specific vaccine. Please provide this statement from your physician on his/her stationery with STAMP AND SIGNATURE. All medical waivers will be periodically reviewed to see if contraindications still exist.

• Religious Exemption Requirement: A reasonable statement explaining your religious objection to immunizations.