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New York University School of Medicine Student Health Service MEDICAL STUDENT IMMUNIZATION RECORD 334 East 25th Street, New York, NY 10010 tel. (212)-263-5489 www.med.nyu.edu/studenthealth NAME: BIRTHDATE:
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What is admission immunization form?
Admission immunization form is a form that collects information about a student's immunization history at the time of admission to a school or educational institution.
Who is required to file admission immunization form?
Any student who is seeking admission to a school or educational institution is required to file an admission immunization form.
How to fill out admission immunization form?
To fill out an admission immunization form, the student or their parent/guardian must provide accurate information about the student's immunization history, including dates and types of vaccines received.
What is the purpose of admission immunization form?
The purpose of the admission immunization form is to ensure that students entering a school or educational institution are up-to-date with their required vaccinations, in order to protect the health and well-being of all students.
What information must be reported on admission immunization form?
The admission immunization form typically requires information such as the student's name, date of birth, immunization records including the dates and types of vaccines received, and any necessary medical exemptions.
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