LaGuardia Community College Immunization Form 2006 free printable template
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For information regarding FREE immunization provided by the New York State Health Department, please call (212) 349-2664 Name Social Security # Address Phone Birth Date / / Parent/Guardian Name Sex
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How to fill out LaGuardia Community College Immunization Form
How to fill out LaGuardia Community College Immunization Form
01
Obtain the LaGuardia Community College Immunization Form from the school's website or admissions office.
02
Fill out your personal information at the top of the form, including your full name, date of birth, and student ID number.
03
Provide your vaccination history, including dates and types of immunizations received.
04
Attach any required supporting documents, such as vaccination records from a healthcare provider.
05
Sign and date the form to certify that the information provided is accurate.
06
Submit the completed form to the designated office, either in person or via email, as instructed.
Who needs LaGuardia Community College Immunization Form?
01
All incoming students registering for classes at LaGuardia Community College are required to submit the Immunization Form.
02
Students who are taking courses that include a clinical component or require health-related certifications must also provide this form.
03
International students and students born on or after January 1, 1957, need to complete the form to comply with New York State immunization laws.
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What is LaGuardia Community College Immunization Form?
The LaGuardia Community College Immunization Form is a document that students must complete to verify their immunization status before registering for classes.
Who is required to file LaGuardia Community College Immunization Form?
All incoming students, including full-time and part-time students, are required to file the LaGuardia Community College Immunization Form to ensure compliance with New York State public health laws.
How to fill out LaGuardia Community College Immunization Form?
To fill out the LaGuardia Community College Immunization Form, students should provide their personal information, list their immunization records with dates, and have a healthcare provider sign the form to verify the accuracy of the information.
What is the purpose of LaGuardia Community College Immunization Form?
The purpose of the LaGuardia Community College Immunization Form is to ensure that all students are protected against vaccine-preventable diseases and to comply with state health regulations.
What information must be reported on LaGuardia Community College Immunization Form?
The LaGuardia Community College Immunization Form must report information such as the student's name, date of birth, immunization dates for measles, mumps, rubella (MMR), and any other required vaccinations.
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