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DAEMON COLLEGE IMMUNIZATION FORM SUBMISSION OPTIONS ONLINE: daemen.edu/healthupload FAX: 716.839.8230 MAIL: 4380 Main St. Box #104 Amherst, NY 14226 OFFICE: Wick 116, CHIP Center PART 1 STUDENT INFORMATION

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How to fill out daemen college meningitis action

01

Get a copy of the Daemen College Meningitis Action form.

02

Fill out the personal information section, including your name, address, phone number, and date of birth.

03

Provide your insurance information, including your insurance provider and policy number.

04

Answer the health history questions accurately, including any previous vaccinations or medical conditions.

05

If you have previously received the meningococcal vaccine, provide the date and location of the vaccination.

06

Sign and date the form.

07

Submit the completed form to the designated department or office at Daemen College.

Who needs daemen college meningitis action?

01

All students who are planning to attend Daemen College need to fill out the Daemen College Meningitis Action form. This form is required in order to ensure the health and safety of all students on campus. It is an important step in preventing the spread of meningitis, a serious and potentially life-threatening disease. By filling out this form, students can provide the necessary information for the college to assess their vaccination status and take appropriate action to protect their health.

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What is daemen college meningitis action?

Daemen College meningitis action is a form that needs to be filed by all students attending the college to report any cases of meningitis.

Who is required to file daemen college meningitis action?

All students attending Daemen College are required to file the meningitis action form.

How to fill out daemen college meningitis action?

To fill out the Daemen College meningitis action form, students need to provide information about their health history, vaccinations, and any symptoms of meningitis.

What is the purpose of daemen college meningitis action?

The purpose of Daemen College meningitis action is to track and prevent the spread of meningitis among the college students.

What information must be reported on daemen college meningitis action?

Information such as health history, vaccinations, and symptoms of meningitis must be reported on the Daemen College meningitis action form.

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