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Please mail all health forms to Albertus Magnus College Dean of Student Services 700 Prospect Street New Haven CT 06511 STATE LAW REQUIRES THAT THIS FORM BE COMPLETED AND ON FILE WITH THE COLLEGE PRIOR TO ATTENDING CLASSES. Pre Admission Immunization Requirements Please Print or Type Name of Student Last First Middle Address Street City/Town State Zip Home Phone Emergency Phone Birth Date M F Sex Parent or Guardian Last First Middle Physician s Name IMMUNIZATION HISTORY Must be Completed by a Physician Record of Immunization Primary Immunization Series Vaccine Type 1st Dose MO/DAY/YR. 2nd Dose 3rd Dose 4th Dose TD Adult Oral Polio Measles Rubella Mumps 1 Physician Statement of Verification 2 Laboratory Verification for Disease History I certify that this student has received the immunization s indicated Physician s Signature Date. MEASLES/RUBELLA IMMUNIZATION CERTIFICATION INFORMATION SHEET This is to inform you that the Public Act 89 - 90 requires all Connecticut college students born....

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COVID-19 Vaccine Policy. Effective July 1, 2022 all members -- Students, Faculty, and Staff -- who are on campus are strongly encouraged to be vaccinated against COVID-19 and remain up to date in their vaccinations, including receiving a booster when eligible.

To ensure the safety, health, and well-being of the Albertus Community, effective July 1, 2022 all members — Students, Faculty, and Staff — who are on campus are strongly encouraged to be vaccinated against COVID-19 and to remain up to date in their vaccinations, including receiving a booster when eligible.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232