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STUDENT IMMUNIZATION HISTORY FORM Name: School: N Date of Birth: / / University I.D. Number: MM DD BY Check appropriate items and enter dates as Month/Day/Year. For more information please visit nyu.edu/health/requirements
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How to fill out student immunization - NYU:

01
Gather necessary documents: Before filling out the student immunization form, make sure you have all the required documents such as your immunization records, personal information, and any other supporting documentation that may be needed.
02
Access the form: Visit the NYU Student Health Center website or contact the health center directly to obtain the student immunization form. It may be available for download or you may need to pick up a physical copy from the health center.
03
Read the instructions: Carefully read the instructions provided on the form or any accompanying documentation. This will help you understand the specific requirements and guidelines for completing the form accurately.
04
Provide personal information: Fill out the necessary personal information section of the form. This may include your full name, NYU ID number, date of birth, contact information, and any other details required.
05
Enter immunization history: The form will typically have a section where you need to enter your immunization history. List all the vaccines you have received, including the name of the vaccine, the dates of administration, and the healthcare provider who administered them.
06
Include supporting documentation: If you have any supporting documentation for your immunization history, such as immunization cards or official records, make sure to attach or provide copies of them along with the form. This helps to ensure the accuracy and validity of your immunization submission.
07
Complete any additional sections: Depending on the specific requirements of NYU's student immunization process, there may be additional sections on the form that you need to complete. Follow the instructions and fill out these sections accordingly.
08
Review and submit: Once you have completed the form, carefully review all the information you have provided. Double-check for any errors or missing information. Make sure you have signed and dated the form where required. After reviewing, submit the form as directed by NYU's Student Health Center.

Who needs student immunization - NYU?

01
All incoming students: Student immunization at NYU is a requirement for all incoming students, regardless of their program or level of study. This includes undergraduate, graduate, and international students.
02
Residential students: Students who will be living in NYU residence halls or participating in any form of campus housing are typically required to provide proof of immunization. This is to ensure the health and safety of the residential community.
03
Students in health-related programs: NYU students enrolled in health-related programs such as nursing, dentistry, medicine, or occupational therapy may have additional immunization requirements beyond the basic ones. This is necessary to comply with the standards and guidelines set by clinical facilities and regulatory bodies.
Note: It is important to check with NYU's Student Health Center or refer to the official NYU website for the most up-to-date information regarding student immunization requirements and procedures. Requirements may vary depending on the specific program, campus, or school within NYU.
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Student immunization at NYU refers to the process of providing proof of required vaccinations to the university.
All incoming students at NYU are required to file student immunization records.
Students can fill out the student immunization form online through the university's student portal.
The purpose of student immunization at NYU is to ensure a healthy and safe campus environment for all students and faculty.
Required information includes the dates of vaccinations, types of vaccines received, and healthcare provider information.
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