Get Buffalo State Weigel

This guide provides a comprehensive overview for users looking to fill out the Buffalo State Weigel health form online. Following these steps will ensure that you complete the form accurately and understand the required health information.

Follow the steps to complete the Buffalo State Weigel form online.

1. Click the ‘Get Form’ button to access the Buffalo State Weigel health form in the designated editor.
2. Begin by entering your last name, maiden name (if applicable), first name, and middle initial in the appropriate fields. Ensure that all names are spelled correctly.
3. Provide your street address, city, state, zip code, and phone number. This information is essential for contact purposes.
4. Fill in your date of birth in the format: month, day, year. This is crucial for identifying your health records.
5. Enter your Banner ID or Social Security number in the designated space. This is necessary for university records.
6. Proceed to Section I: Immunizations. Choose one of the sections A, B, or C to indicate your proof of immunity. Ensure that all dates are entered correctly with month, day, and year.
7. If selecting Section A, provide dates for the two MMR doses received after your first birthday and post-January 1, 1972.
8. For Section B, if providing measles immunity, enter the two dates of measles immunizations and any required results or physician signatures for titer tests.
9. Complete the required information for mumps and rubella immunities, ensuring that you provide any necessary signatures or results.
10. If selecting Section C, ensure that you attach the required proof of military service documentation.
11. Move to Section II: Meningitis Information Response Form. Indicate whether you have had the meningococcal vaccine within the past 10 years, and provide your healthcare provider’s details.
12. Read the information regarding meningococcal meningitis disease provided on the form. Sign the document, along with the health care provider's signature if applicable.
13. Once you have filled out all required fields and sections, review the form for accuracy.
14. Lastly, save your changes, then download, print, or share the completed form as needed.

Complete your Buffalo State Weigel health form online today to ensure your registration for classes is not delayed.