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Stony Brook University Meningitis Response Form 2020-2025 free printable template

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STUDENT HEALTH SERVICE Tel 631 632-6740 TDD 631 632-6171 Fax 631 632-6936 When Completed Mail Directly to Director Student Health Service Stony Brook University Stony Brook New York 11794-3191 Meningitis Response Form STUDENT LAST NAME PLEASE PRINT FIRST NAME MIDDLE NAME STONY BROOK ID HOME ADDRESS STREET/APT. CITY/TOWN STATE/PROVINCE HOME PHONE CELL PHONE E-MAIL EMERGENCY CONTACT RELATIONSHIP PHONE ZIP CODE COUNTRY IF NOT U*S* New York State Public Health Law and Stony Brook University...
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How to fill out Stony Brook University Meningitis Response Form

01
Obtain the Meningitis Response Form from Stony Brook University's website or health services.
02
Fill in your personal information, including your name, student ID, and contact details.
03
Indicate your vaccination status by providing the dates of any meningitis vaccinations received.
04
If applicable, sign the form to verify that the information provided is accurate.
05
Submit the completed form according to the instructions provided (online submission, email, or in-person).

Who needs Stony Brook University Meningitis Response Form?

01
All new students living in university housing.
02
Students who have not previously submitted a Meningitis Response Form.
03
Any student who is required by Stony Brook University to provide documentation of meningitis vaccination.
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To ensure a healthy and safe campus community, if you plan to enroll in at least one in-person class, live on campus, or access in-person services or facilities on Stony Brook's campuses, you are required to comply with mandatory immunization requirements.
Common symptoms in children and adults Fever. Headache. Stiff neck. Photophobia (eyes being more sensitive to light) Sleepiness or trouble waking up from sleep. Nausea. Irritability. Vomiting.
The ST-11 strain is associated with severe illness which often requires treatment in intensive care and has a higher associated death rate than other strains of meningococcal disease, (13% case fatality compared to 5-10%) 1.
Step 1: Log into the Wolfie Health Portal with your NetID. After logging in with your NetID, if you see this screen please try again after 24-48 hours. Step 2: Click the upload button located at the top of the website's toolbar. Step 3: Scroll down and select the type of document you would like to upload.
Common bacteria or viruses that can cause meningitis can spread through coughing, sneezing, kissing, or sharing eating utensils, a toothbrush or a cigarette. These steps can help prevent meningitis: Wash your hands. Careful hand-washing helps prevent the spread of germs.
There is a large, ongoing outbreak of meningococcal disease in Florida, primarily among gay and bisexual men. Vaccines offer the best protection during the outbreak. Outbreaks of meningococcal disease are rare in the United States.

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The Stony Brook University Meningitis Response Form is a document required by the university to collect information regarding meningitis vaccination status among students.
All students who are living on campus are required to file the Stony Brook University Meningitis Response Form to ensure compliance with health regulations.
To fill out the Stony Brook University Meningitis Response Form, students must provide their personal details, vaccination dates, and any relevant medical history regarding meningitis.
The purpose of the Stony Brook University Meningitis Response Form is to ensure that the university is informed of students' meningitis vaccination status to protect the health and safety of the campus community.
The information that must be reported on the form includes the student's name, date of birth, vaccination dates, and any exemptions or medical conditions related to meningitis.
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