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  • Suny Old Westbury Immunization Form

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LAW 2167 states that students may be immunized against meningitis or must sign the statement below*. This documentation must be on file at the Student Health Services. NAME MAIDEN NAME DATE OF BIRTH / / Student ID or S.S.# PHONE ( ) ADDRESS TOWN/CITY STATE/ZIP REQUIRED IMMUNIZATIONS--ALL DATES MUST INCLUDE MONTH, DAY.

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The Form DH 680, Florida Certification of Immunization, must be used to document receipt of Immunizations and is required for enrollment into the Florida school systems, programs, childcare facilities, and family daycare homes.

Florida SHOTS is a free, statewide, centralized online immunization information system (IIS) that helps healthcare providers and schools keep track of immunization records to ensure that patients of all ages receive the vaccinations needed to protect them from dangerous vaccine-preventable diseases.

Upload a copy of your medical documentation or your completed Med+Proctor immunization certificate to your Med+Proctor account. Make sure your forms are complete and legible. Once the immunization forms are received, you will receive an email confirmation. Chat with Med+Proctor customer support for further assistance.

Returning Students in a Health-Related Program Current students can print out their immunization history by using the patient portal. Former students must complete the Authorization to Release or Obtain Medical Records form and return it to Student Health Services via fax or mail.

Contact the Immunization Section 1-877-888-7468. Immunization@FLHealth.gov. 850-922-4195. Florida Department of Health. Immunization Section. 4052 Bald Cypress Way, Bin A11. Tallahassee, FL 32399-1719.

Mandatory Vaccination for Students In compliance with the SUNY vaccination mandate, SUNY Old Westbury requires all students who attend in-person classes or utilize any on-campus services to be fully vaccinated.

Form DH 681, Religious Exemption From Immunization, is issued if immunizations are in conflict with the religious tenets and practices of the child's parent or guardian. This exemption is issued by a County Health Department (CHD) and based on established religious beliefs or practices only.

Submit any immunization records to either immunizations@gsu.edu with panther ID# written on the document or to the student portal at health.gsu.edu. Other Holds: If your registration hold is not immunizations related, please contact GSU Admissions office at 404-413-2000 for further help.

For privacy and protection of your personal health information we only accept records uploaded in your patient portal. You will need to log in the patient portal and upload your immunization records in the medical clearance section.

Every child entering a Florida school for the first time needs the Florida Certification of Immunization form (also known as Form 680 or “blue card”). This form must be completed by a physician or a Florida county health department.

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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
Content Takedown Policy
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:
1-877-389-0141
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