Get Immunization Record - Hostos Community College - Hostos Cuny

Completing the immunization record is a vital step for registration at Hostos Community College. This guide provides clear, step-by-step instructions on how to accurately fill out the IMMUNIZATION RECORD online, ensuring you meet all necessary requirements.

Follow the steps to complete your immunization record.

1. Press the ‘Get Form’ button to access the immunization record. This action allows you to obtain the necessary document and open it for editing.
2. Begin by filling out Part 1: Student Information. Provide your full name, date of birth, and EMPL ID number in the designated fields. Ensure the information is legible.
3. Proceed to Part 2: Meningococcal Meningitis. Check the appropriate box in Section A to indicate your vaccination status. Don't forget to enter the date you received the vaccine, if applicable, and sign in Section B.
4. In Part 3: Immunization History, record all relevant vaccinations. This section must be completed by a healthcare provider who will provide the required details, including dates of vaccination. Make sure all dates include the month, day, and year.
5. For each entry in Part 3, ensure that the healthcare provider marks an 'X' in the appropriate boxes and provides their name, signature, license number, and contact information.
6. Finally, review your completed form for accuracy, ensuring all information is correct and legible. After verifying, you can save the changes, download, print, or share the form as necessary.

Complete your immunization records online now to ensure a smooth registration process at Hostos Community College.