Get Medical Requirements Form - Lehman College - Lehman Cuny

Filling out the Medical Requirements Form is an essential step for students at Lehman College to ensure compliance with health regulations. This guide will provide clear directions on completing the form accurately online, helping you navigate through each section effectively.

Follow the steps to complete the Medical Requirements Form online.

1. Click 'Get Form' button to access the Medical Requirements Form online.
2. In the first section, fill in your personal information, including your full name, social security number, address, phone number, and date of birth. Ensure all details are accurate and up to date.
3. Part 1 requires you or a parent/guardian (if under 18) to select one of the two options regarding meningococcal meningitis vaccination. Choose one box only. If you were vaccinated, enter the date of vaccination. If you choose not to get vaccinated, acknowledge your understanding of the risks involved.
4. In Part 2, provide details of your MMR immunizations. Input the dates for the measles, mumps, and rubella vaccinations if applicable. Alternatively, if you have received the M.M.R. vaccine, list the dates of both doses.
5. If applicable, submit a laboratory report proving immunity through an MMR titer. This may require additional documentation from your healthcare provider.
6. Ensure that your healthcare provider completes and signs Part 2 of the form. They must provide their signature, stamp, address, and date, as well as a contact number.
7. Once you have filled out all sections, review the form to confirm accuracy. Save your changes and prepare to download it. You can also print the form for physical submission or share it as needed.

Complete your Medical Requirements Form online today to stay compliant and ready for registration at Lehman College.