Get Lim College Student Immunization Record Form 2009-2025

This guide will walk you through the process of completing the LIM College Student Immunization Record Form online. It is essential to provide accurate information for compliance with New York State Public Health laws.

Follow the steps to successfully complete the form

1. Click ‘Get Form’ button to obtain the LIM College Student Immunization Record Form and open it in the editor.
2. Begin by entering your name in the designated field. Ensure that you include your full legal name as it appears on official documents.
3. Next, fill in your date of birth. This should be entered in the format requested, typically month/day/year.
4. Indicate the semester you are entering LIM College by selecting the appropriate option from the given choices.
5. Input your student ID number if applicable, as this will help associate your form with your student records.
6. Provide your email address in the specified field. Make sure this is an address you check regularly as it may be used for follow-up communications.
7. In Part I, carefully read the meningococcal meningitis information. Choose one option by checking the appropriate box, providing the date of vaccination if applicable.
8. In Part II, which covers proof of measles, mumps, and rubella immunity, complete Section A by entering the dates of your MMR vaccinations or the respective details for each disease.
9. Make sure you have the necessary documentation for measles, mumps, and rubella immunity as detailed, including blood titer results if relevant.
10. Complete the healthcare provider section by entering the healthcare provider's name, license number, and obtaining their signature or stamp.
11. After reviewing all entered information for accuracy, save any changes you made. You can download, print, or share the completed form for submission.

Start filling out your LIM College Student Immunization Record Form online today to ensure complementation of your enrollment requirements.