Get Adm-immunizationform-revf11.indd

Filling out the ADM-ImmunizationForm-revF11.indd is a crucial step for students to meet immunization requirements. This guide provides clear, step-by-step instructions to help users navigate the form effectively.

Follow the steps to complete the online immunization form.

1. Click the ‘Get Form’ button to obtain the form and open it in the editor.
2. Input your personal information in Part 1 of the form. This includes your last name, first name, middle initial, date of birth, CUNY ID or the last four digits of your Social Security number, phone number, and email address.
3. In Part 2, review the information about meningococcal meningitis. Check the appropriate box indicating whether you have received the vaccine or have chosen not to receive it. Ensure to include the date of vaccination if applicable.
4. Sign Part 2 of the form. If you are under the age of 18, a parent or guardian must provide their signature instead.
5. Provide Part 3 of the form to your health-care provider to complete your immunization history. They will need to fill in the vaccination details for MMR or individual vaccinations, including dates and any required signatures.
6. After completing all sections, save any changes made to the form. You can then download a copy, print it, or share it for submission to the Health Service Center.

Complete your documents online to ensure you meet your immunization requirements.