Health Form for Meningococcal Immunization Records
This document is essential for students at LaGuardia Community College to submit their meningococcal immunization records. It includes instructions for completion and submission of the form. Understanding these instructions is vital for compliance with public health laws.
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How do I fill this out?
Filling out this form is crucial for compliance with health regulations. Make sure to provide accurate personal information and choose the appropriate immunization option. Follow the instructions carefully to ensure your submission is complete.
How to fill out the Health Form for Meningococcal Immunization Records?
1
Provide your personal and contact information in the designated fields.
2
Select one option in Section A regarding your meningococcal immunization status.
3
If applicable, attach the vaccine record to the form.
4
Sign and date the form in Section B.
5
Submit the completed form to the Health Services Center.
Who needs the Health Form for Meningococcal Immunization Records?
1
First-year college students require this form to comply with health regulations.
2
Parents of students under 18 must submit this form for their children's enrollment.
3
International students need to validate their immunization status to enroll.
4
Transfer students may need to provide a record of their immunizations.
5
Any student planning to reside on campus must submit this health form.
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What are the instructions for submitting this form?
To submit this form, you can email it to Health-Center@lagcc.cuny.edu or deliver it in person to the Health Services Center located at 31-10 Thomson Avenue, Room MB40. Make sure to include any attached vaccination records. It is important to submit your form as early as possible to ensure compliance with health regulations and secure your enrollment.
What are the important dates for this form in 2024 and 2025?
Important dates regarding the submission include the start of each semester. Students should submit their form at least 30 days before beginning classes, to ensure compliance and protect health on campus. Regular reminders will be sent before deadlines.
What is the purpose of this form?
The purpose of this form is to ensure that all students at LaGuardia Community College are vaccinated against meningococcal disease as required by New York State public health law. This immunization is crucial for student safety and health on campus, especially for those living in residence halls. By collecting this information, the college ensures a healthy environment for all students and prevents outbreaks of this serious illness.
Tell me about this form and its components and fields line-by-line.
- 1. Name: Full name of the student.
- 2. Date of Birth: Student's date of birth.
- 3. EMPL ID: Student's identification number.
- 4. Daytime Phone: Contact number for the student.
- 5. Email Address: Email for correspondence.
- 6. Meningococcal Immunization Status: Students indicate their vaccination status here.
- 7. Signature: Confirmation signature by the student or parent.
- 8. Date: Date of signature.
What happens if I fail to submit this form?
If you fail to submit this form, you risk being unable to enroll or live on campus. This can lead to missed educational opportunities and compliance issues with state health regulations.
- Enrollment Issues: Students may face challenges in completing their enrollment if the form is not submitted.
- Health Risks: Without vaccination, individuals are at risk of meningococcal disease.
- Campus Housing: Students may not be allowed to reside in campus housing without the completed form.
How do I know when to use this form?
- 1. Enrollment Process: All incoming students must submit the form as part of their enrollment.
- 2. Campus Housing Application: Students applying for residence must provide this form.
- 3. Health Compliance Checks: It may be required during health compliance checks by the college.
Frequently Asked Question
What is the purpose of this form?
This form verifies immunization against meningococcal disease for students.
How do I submit the completed form?
Email or physical submission to the Health Services Center is accepted.
Where can I find more information about the disease?
Visit the NYS Department of Health site or consult a healthcare provider.
Can I edit this PDF on PrintFriendly?
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How do I know if I need this form?
If you are enrolling at LaGuardia Community College, you will need this form.
Is there a deadline for submission?
Yes, it is advisable to submit the form before the start of the semester.
What if I don’t have my vaccination records?
Consult your healthcare provider to obtain a copy of your vaccination records.
Can I submit this form online?
Yes, you can submit the form via email to the Health Services Center.
Will I receive confirmation of my submission?
You should receive confirmation once your form has been processed by the office.
Do I need a parent signature?
Yes, students under 18 need a parent or guardian signature on the form.
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