Get the free Immunization Form - Student Affairs - Stony Brook University - studentaffairs stonyb...

When Completed, Mail Directly to: Director, Student Health Service Stony Brook University Stony Brook, New York 11794-3191 STUDENT HEALTH SERVICE Tel: (631) 632-6740 TDD: (631) 632-6171 Fax: (631)

How to fill out immunization form - student

How to fill out immunization form - student:

1. Gather all necessary documentation, such as immunization records and personal identification.
2. Fill out personal information section, including name, date of birth, and contact information.
3. Provide details about your current educational institution, such as the name of the school and your student identification number.
4. Fill out the immunization section, listing each vaccine received and the corresponding dates. Make sure all required vaccines are included.
5. If you have any medical exemptions, provide the necessary documentation and details.
6. Sign and date the form to certify that the information provided is true and accurate.
7. Submit the completed form to the designated authority, such as your school's health services department.

Who needs immunization form - student:

1. Students who are attending educational institutions requiring proof of immunization.
2. Students who are enrolling in a new school or transferring to a different institution.
3. Students participating in certain educational programs, internships, or field placements that have immunization requirements.

For pdfFiller’s FAQs

What is immunization form - student?

The immunization form for students is a document that records the immunization history of a student.

Who is required to file immunization form - student?

All students attending a school or college are required to file an immunization form.

How to fill out immunization form - student?

To fill out the immunization form for students, you need to provide details of the required immunizations and their dates.

What is the purpose of immunization form - student?

The purpose of the immunization form for students is to ensure that all students are properly immunized and protected against contagious diseases.

What information must be reported on immunization form - student?

The immunization form for students must include information about the types and dates of immunizations received by the student.

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