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How do I fill this out?
To fill out the immunization record, start by providing your personal information in Part 1. Next, complete Part 2 by selecting your meningitis vaccination status. Finally, ensure that a healthcare provider fills out Part 3 and submits the form as instructed.
How to fill out the Immunization Record Requirements CUNY Bronx?
1
Begin by entering your personal information in Part 1.
2
Select your meningitis vaccination status in Part 2.
3
Have your healthcare provider fill out Part 3.
4
Attach any required documents showing proof of immunity.
5
Submit the completed form as per the submission instructions.
Who needs the Immunization Record Requirements CUNY Bronx?
1
New CUNY students registering for 6 or more credits.
2
Students born on or after January 1, 1957.
3
Students transferring from other institutions.
4
Students returning after a break in enrollment.
5
Degree-seeking students needing to meet health regulations.
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What are the instructions for submitting this form?
Submit the completed immunization record by mailing it to Loew Hall Room 101 or faxing it to 718-289-6074. Make sure all documents are legible and correctly filled out. Include any necessary attachments that demonstrate proof of vaccinations as required.
What are the important dates for this form in 2024 and 2025?
For 2024, ensure your immunization record is submitted by the registration deadlines set by CUNY. For 2025, check with the admissions office for specific dates and any updates to immunization policies.
What is the purpose of this form?
The purpose of this immunization record form is to ensure that all students meet the state health regulations for vaccinations. This helps protect both individual students and the campus community from outbreaks of preventable diseases. By collecting this information, CUNY can facilitate a safer and healthier learning environment for everyone.
Tell me about this form and its components and fields line-by-line.
- 1. Part 1: Student Information: Includes personal information such as name, date of birth, and contact details.
- 2. Part 2: Meningococcal Meningitis: Requires acknowledgment of the meningitis vaccine status.
- 3. Part 3: Immunization History: Documented vaccination history must be filled by a healthcare provider.
- 4. Part 4: For Office Use Only: Section for health services personnel to record processing information.
What happens if I fail to submit this form?
If you fail to submit this form, you may face delays in your registration process. Not completing the immunization requirements could lead to restrictions on your enrollment status or participation in classes.
- Registration Delays: Without submitting the form, you may be unable to register for classes.
- Health Risks: Not meeting the immunization requirements may expose you and others to health risks.
- Enrollment Restrictions: Failure to provide necessary documentation might result in being barred from class attendance.
How do I know when to use this form?
- 1. New Student Enrollment: For students starting their first semester at CUNY.
- 2. Transfer Students: Those coming from other institutions must submit the form.
- 3. Returning Students: Students who have taken a break and need to update their records.
- 4. Compliance with Health Regulations: Ensuring all health regulations are met for the safety of the campus.
- 5. Degree Program Requirements: Completing the form is necessary for enrollment in degree programs.
Frequently Asked Questions
What information do I need to fill out the form?
You will need to provide your personal details, vaccination history, and any relevant healthcare provider’s information.
Is this form mandatory for all students?
Yes, all students enrolling for 6 or more credits must complete this immunization record.
Can I submit the form electronically?
Yes, you can fill and submit the form electronically via email or fax.
What if I don’t have my immunization records?
You can contact your previous schools or healthcare providers for assistance in obtaining your records.
What types of vaccines are required?
The required vaccines include Measles, Mumps, Rubella, and Meningococcal.
Who can fill out the health care provider section?
The health care provider section must be filled out by a licensed medical professional.
When is the deadline for submission?
The submission deadline will typically be outlined by your specific registration deadlines.
Can I appeal for an exemption?
Students may appeal for an exemption based on medical or religious grounds by following the appropriate procedures.
How will I know if my form is processed?
You should receive confirmation from the health services office once your form has been processed.
Where can I find more information on immunization requirements?
Visit the CUNY health services website or contact your campus health office for detailed information.
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