Get John Jay Immunization Form

Filling out the John Jay Immunization Form online is a straightforward process that ensures you meet the immunization requirements for college attendance. This guide provides clear instructions to help you complete each section of the form accurately and efficiently.

Follow the steps to fill out the John Jay Immunization Form online.

1. Click the ‘Get Form’ button to obtain the form and open it in your chosen online platform.
2. In Part 1, enter the required student information. Fill out your last and first name, select your sex, provide your address, phone number, social security number (with the last four digits hidden), and date of birth.
3. Proceed to Part 2. If you are under 18, a parent or guardian must complete and sign this section. Check one box to indicate whether you received the meningococcal meningitis vaccination or if you have read the information and decided against vaccination.
4. In Part 3, document your immunization history. This part must be completed by a healthcare provider. They will provide the vaccination dates for the MMR vaccines or individual measles, mumps, and rubella vaccines as required.
5. If applicable, include any titer results. Ensure that your healthcare provider documents the outcomes in this section if you have immunity due to a blood test.
6. If you are claiming a medical exemption, attach a statement from your physician certifying your health condition that prevents vaccination. Ensure this statement is on official letterhead and includes the physician's signature and license number.
7. In the final section, your healthcare provider must certify the outlined immunizations by printing their name, providing their license number, and signing the form. Include the official seal or stamp.
8. Once all sections are completed, review your entries for accuracy. You can then save changes, download a copy, print the completed form, or share it as required.

Complete the John Jay Immunization Form online today to ensure your compliance with immunization requirements.