形式

Immunizations and Vaccinations

请参阅 Immunization and Vaccination Requirements 和你的 《推荐全球十大博彩公司排行榜》杂志 My Enrollment Checklist before submitting any of the following forms.

If you need official copies of vaccination records, see the CDC's How to Locate Your Vaccination Records webpage.

• MMR Immunization Form (PDF)
  If requested by 卫生服务, this form should be completed by the student's healthcare provider. New York State law requires that all students born on or after January 1, 1957, and who enroll in six or more credits for any given term must provide proof of immunity to measles, 流行性腮腺炎和风疹(MMR). 
• Meningitis Self-Reporting Form (PDF)
  学生s also are required by New York State law to have a meningitis response form on file. This is simply a requirement for a signed form; an immunization is not required. Read more about meningitis .
• Recommendations for Immunizations and TB Testing for Health Science and Education 学生s (PDF)
• Request for Exemption from Immunization (PDF)
  Required for any student seeking to submit a medical and/or religious waiver from NYS immunization requirements.
• COVID-19 Vaccination Documentation Form
• 学生s and employees should use this form to submit documentation of their COVID-19 Vaccination Record.

其他形式

• Authorization for Disclosure
  This form should be completed when requesting 卫生服务 to release your immunization records. This form allows the college to release immunization, 治疗, laboratory and physical exam records as necessary.
• Health Science Physical Form (PDF)
  Required for students in the following programs: Early Childhood and Health Science 学生s, including: Dental Hygiene, Diagnostic Cardiac Sonography, Diagnostic Medical Sonography, Invasive Cardiovascular Technology, 太平间科学, 护理, 护理人员, 呼吸道护理, Radiologic Technology and Surgical Technology.
• 学生-Athlete Health 形式
  Required for all student athletes.
• Documentation of COVID-19 Test Results
  学生s and employees should use this form to submit documentation of their COVID-19 test results, including clearance from county health departments.

When Being Seen/Treated in 卫生服务

学生s and employees may be asked to complete the following forms when being seen in 卫生服务.

• 健康史表格
  Required for any student or employee who visits 卫生服务 seeking care.
• Acknowledgment of Notice of Privacy Practices
• Required by anyone being seen/treated in 卫生服务. View the Notice of Privacy Practices (PDF).
• 服务同意书
  Required by anyone being seen/treated in 卫生服务.