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Vaughn College Meningococcal Meningitis Vaccination Response free printable template

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MENINGITIS ON CAMPUS Know Your Risk Learn About Vaccination Certain college students are at increased risk for meningococcal disease, a potentially fatal bacterial infection commonly referred to as
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How to fill out meningitis immunization requirementwaiver immunization

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How to fill out Vaughn College Meningococcal Meningitis Vaccination Response Form

01
Obtain the Vaughn College Meningococcal Meningitis Vaccination Response Form from the college website or admissions office.
02
Fill in your personal information, including your name, date of birth, and student ID.
03
Indicate whether you have received the meningococcal meningitis vaccine by selecting 'Yes' or 'No.'
04
If you answered 'Yes,' provide the date you received the vaccine and the name of the healthcare provider who administered it.
05
If you answered 'No,' you may need to provide a reason why you have not received the vaccine or indicate your intention to get vaccinated.
06
Sign and date the form at the bottom to certify that the information provided is accurate.
07
Submit the completed form to the designated office at Vaughn College either in person or via email as instructed.

Who needs Vaughn College Meningococcal Meningitis Vaccination Response Form?

01
All incoming students to Vaughn College.
02
Students residing in on-campus housing.
03
Students who are new to the college and have not previously submitted the vaccination response form.
04
Any students who may be participating in healthcare or community service programs requiring vaccination.
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MenACWY Vaccine Mandates for Colleges and Universities StateWhat types of institutions?Implementation dateArkansasCaliforniaColoradoAll colleges & universities7/1/2005ConnecticutAll colleges & universities9/1/200248 more rows
Meningococcal B vaccines are recommended for people 10 years or older who are at increased risk for serogroup B meningococcal disease, including: People at risk because of a serogroup B meningococcal disease outbreak. Anyone whose spleen is damaged or has been removed, including people with sickle cell disease.
Vaccine providers give a 3-dose series to people 10 years or older at increased risk of meningococcal disease.
Who should get the meningococcal vaccines? The MenACWY vaccine is recommended for college freshman living in a dormitory. The vaccine has been recommended for 11-12 year olds since 2005, so it is possible that incoming freshmen have already received a dose.
Administer a booster dose of MenB vaccine 1 year after series completion and then every 2 to 3 years thereafter. For those at increased risk due to an outbreak who previously received the MenB vaccine series, CDC recommends a booster dose if a year or more has passed since primary series completion.
How to submit your Meningococcal information: Access your CUNYfirst account. Navigate to Self Service, then to Student Center. Under the To Do List tab, click on Meningitis Acknowledgement Form. You will be able to review information regarding the Meningococcal Meningitis vaccine, and respond electronically.

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The Vaughn College Meningococcal Meningitis Vaccination Response Form is a document that collects information regarding the vaccination status of students against meningococcal meningitis, a serious bacterial infection.
All incoming students, particularly those residing in on-campus housing, are required to file the Vaughn College Meningococcal Meningitis Vaccination Response Form.
To fill out the form, students need to provide their personal information, vaccination date(s), and any medical exemptions if applicable, and then submit it according to the college's guidelines.
The purpose of the form is to ensure that the college is aware of students' vaccination status, to promote public health, and to comply with state immunization requirements.
The form must report the student's name, student ID, vaccination date(s), the type of vaccine received, and any declination or exemption information if the student has not been vaccinated.
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