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STUDENT HEALTH SERVICE Tel 631 632-6740 TDD 631 632-6171 Fax 631 632-6936 When Completed Mail Directly to Director Student Health Service Stony Brook University Stony Brook New York 11794-3191 Meningitis Response Form STUDENT LAST NAME PLEASE PRINT FIRST NAME MIDDLE NAME STONY BROOK ID HOME ADDRESS STREET/APT. CITY/TOWN STATE/PROVINCE HOME PHONE CELL PHONE E-MAIL EMERGENCY CONTACT RELATIONSHIP PHONE ZIP CODE COUNTRY IF NOT U*S* New York State Public Health Law and Stony Brook University Policy require that all students must verify by their signature that they have received information about meningococcal disease and have made an informed decision about whether or not to receive immunization against meningococcal disease. Student must demonstrate compliance with this requirement within 30 days after the first day of classes. The Registrar will block and de-register students who fail to comply with this health requirement. Student may comply with this law by reading the required informat....

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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.

To ensure a healthy and safe campus community, if you plan to enroll in at least one in-person class, live on campus, or access in-person services or facilities on Stony Brook's campuses, you are required to comply with mandatory immunization requirements.

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.

Step 1: Log into the Wolfie Health Portal with your NetID. After logging in with your NetID, if you see this screen please try again after 24-48 hours. Step 2: Click the upload button located at the top of the website's toolbar. Step 3: Scroll down and select the type of document you would like to upload.

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.

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.

Proof of immunity to Measles, Mumps, Rubella (MMR) and a response to the status of Meningococcal Meningitis vaccination are required of all new incoming students. You are NOT permitted to register for classes without proof of immunization.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
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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
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
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:
+1 833 426 79 33
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