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  • Liu Brooklyn Meningitis Form

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Section 1. (Must be completed) (Submit with original signatures only-No Fax) Student ID MMR/Meningitis Form Name Last Street First City State ZIP Address Phone ( ) Phone ( ) Email: Date of Birth /.

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Why should my child get meningococcal shots? Protects against the bacteria that cause meningococcal disease. Protects your child from infections of the lining of the brain and spinal cord, as well as bloodstream infections.

TO SUBMIT IMMUNIZATION RECORDS. BY FAX: (212) 650-8227. BY EMAIL: shs@ccny.cuny.edu. BY MAIL: SHS – Marshak Science Building, 160 Convent Avenue, New York, NY 10031.

Additional information is also available on the following websites: TO SUBMIT IMMUNIZATION RECORDS: Mail to: College of Staten Island, Health & Wellness Services, 2800 Victory Blvd., Staten Island, NY 10314. Fax to: 718.982.2966. Email: HealthCenter@csi.cuny.edu.

MMR/Meningitis Please submit your immunization documents via email to the Medical Records Unit at medicalrecords@baruch.cuny.edu. Keep in mind that you do not need a doctor to fill out the form.

Meningitis Response Form CUNY requires that all students complete and return the following form to Queens College, Health Service Center, 6530 Kissena Blvd, Frese Hall 3rd Floor, Queens, N.Y. 11367 or email: healthquestions@qc.cuny.edu, or fax: 718-997-2765.

How to submit your Meningococcal information: Access your CUNYfirst account. Navigate to Self Service, then to Student Center. Under the To Do List tab, click on Meningitis Acknowledgement Form. You will be able to review information regarding the Meningococcal Meningitis vaccine, and respond electronically.

All children ages 11 through 12 years should receive meningococcal vaccine (MenACWY) followed by a booster dose at age 16 years. Vaccination is also recommended for all adolescents ages 13 through 18 years who did not receive a dose at age 11-12 years.

One dose of meningococcal vaccine is required for students who will be in 7th, 8th, 9th, or 10th grade. If your child had the first dose before 7th grade, then another dose is not required until 12th grade. Two doses will be required before 12th grade.

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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