Get Stony Brook University Meningitis Response Form 2020-2025

The Stony Brook University Meningitis Response Form is a crucial document for students to certify their understanding of meningococcal disease and their vaccination status. This guide will provide clear, step-by-step instructions to help you complete the form accurately and efficiently.

Follow the steps to complete the form successfully.

1. Press the ‘Get Form’ button to access the Meningitis Response Form online and open it in your document editor.
2. Begin by entering your last name in the designated field. Ensure it is clear and legible.
3. Continue with your first name and middle name as instructed. This information is required for identification purposes.
4. Input your Stony Brook ID number in the appropriate section. This is essential for your registration process.
5. Fill in your home address, including street and apartment number. Ensure to provide accurate city, state, and zip code information.
6. Provide your cell phone number and home phone number for emergency contact purposes.
7. List an emergency contact person's name along with their relationship to you.
8. If you are not residing in the United States, please specify your country of residence.
9. Enter your email address and repeat your cell phone number for communication purposes.
10. Review the instructions concerning the New York State public health law and Stony Brook University policy. Ensure you understand the requirements.
11. Select one of the checkboxes to indicate whether you have had the meningococcal meningitis immunization within the past 5 years or if you have read the information and chosen not to get vaccinated.
12. Sign the form. If you are under the age of 18, a parent or guardian must sign on your behalf.
13. Indicate the relationship of the signer if it is a parent or guardian. Then, include the date of signing.
14. Before submitting, make a copy of the completed form for your records.
15. Finally, upload the completed form to the Patient Portal as directed.

Complete your Meningitis Response Form online today to ensure your compliance and avoid any registration issues.