Get Meningitis Response Form.qxd - New York University - W4 Stern Nyu

This guide aims to assist users in completing the Meningitis Response Form effectively and accurately. Ensuring the proper filling out of this form is essential for compliance with New York State Public Health Law regarding vaccinations.

Follow the steps to complete the Meningitis Response Form accurately.

1. Click the ‘Get Form’ button to obtain the form and open it in your preferred document editing tool.
2. Review the introduction section for essential information regarding the meningococcal meningitis disease and the vaccination requirements for enrollment in college or university.
3. If applicable, provide the date of vaccination in the format of month, day, and year. Ensure this date reflects the correct information as outlined in the form.
4. Sign the form as the student or, if under 18, as the parent or guardian. Your signature confirms the accuracy of the information provided.
5. Print the student's name clearly in the designated field, ensuring to include the first, middle initial, and last name.
6. Fill in the university identification number, ensuring it is the correct 9-digit student ID.
7. Complete the mailing address section, including city, state, and zip code information.
8. After all sections are filled, save any changes made to the document. You may choose to download, print, or share the completed form as needed.

Complete your Meningitis Response Form online today to ensure your compliance with vaccination requirements.