Immunization Requirement Form for Pace University
The Immunization Requirement Form is a necessary document for students at Pace University to verify their vaccination status. It includes critical health information and exemptions. Students must complete and submit this form to comply with New York State Public Health Law.
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How do I fill this out?
To fill out the Immunization Requirement Form, start by providing your personal information in the designated fields. Ensure that your healthcare provider completes the vaccination sections, including providing their certification. Finally, review the form for accuracy before submission.
How to fill out the Immunization Requirement Form for Pace University?
1
Collect personal information required in Part One.
2
Have your healthcare provider complete Part Two accurately.
3
Indicate any exemptions if applicable.
4
Complete Part Three regarding meningococcal meningitis.
5
Submit the form by the specified deadline.
Who needs the Immunization Requirement Form for Pace University?
1
Pace University students need this form to register for classes.
2
Nursing students must submit this form for program compliance.
3
Students under the age of 18 need parental signatures on the form.
4
Students seeking exemptions for medical or religious reasons must complete this form.
5
All students must have up-to-date immunization records for campus attendance.
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Open the Immunization Requirement Form in PrintFriendly.
2
Locate the fields you need to edit.
3
Make your changes and updates in the appropriate sections.
4
Review the document for accuracy.
5
Download your updated form.
What are the instructions for submitting this form?
Submit the completed Immunization Requirement Form online through the Patient Portal at www.pace.edu/patientportal. For assistance, email Medicat Compliance Services at complianceservices@medicat.com. Ensure your submission is completed by the deadlines: August 1 for Fall, December 1 for Spring, May 1 for Summer I, and June 1 for Summer II.
What are the important dates for this form in 2024 and 2025?
Important submission dates for the Immunization Requirement Form are as follows: Fall Term - August 1, Spring Term - December 1, Summer I - May 1, and Summer II - June 1 for 2024 and 2025.
What is the purpose of this form?
The Immunization Requirement Form is designed to ensure that all students at Pace University meet the vaccination standards set by New York State Public Health Law. Compliance with this form helps protect not only individual students but also the wider campus community from vaccine-preventable diseases. Submitting this form on time is crucial for enrollment and health safety.
Tell me about this form and its components and fields line-by-line.
- 1. Student Information: Includes personal details such as name, student ID, date of birth, and contact information.
- 2. MMR Vaccination Details: Requires vaccination dates for measles, mumps, and rubella, certified by a healthcare provider.
- 3. Exemption Clauses: Allows students to indicate reasons for any vaccination exemptions they may qualify for.
- 4. Meningococcal Information: Collects information regarding meningococcal meningitis immunization status.
- 5. Healthcare Provider Certification: Requires healthcare provider's information for validation of immunizations.
What happens if I fail to submit this form?
If the Immunization Requirement Form is not submitted, students may face barriers to class registration and may not be allowed to attend classes until compliance is met. This can delay a student's academic progress.
- Enrollment Delays: Students may not be able to register for courses.
- Attendance Restrictions: Access to campus may be restricted until compliance is achieved.
- Program Participation Issues: Specific programs may require timely submission for participation.
How do I know when to use this form?
- 1. New Students: All new students must submit this form to enroll in classes.
- 2. Course Registration: Required for students wanting to register for coursework.
- 3. Health Program Admission: Essential for admission into specific health-related programs.
Frequently Asked Question
What is the Immunization Requirement Form?
It is a document required by Pace University to verify immunizations for enrolled students.
How do I fill out this form?
Enter your personal information and have a healthcare provider complete the vaccination sections.
What if I have a vaccination exemption?
You can indicate your exemption reasons on the form.
How can I submit this form?
Submit the form electronically via the Patient Portal or email it to the compliance services.
Can I edit the form online?
Yes, you can easily edit the PDF using our user-friendly editor.
Is it necessary to submit supporting documents?
Yes, proof of vaccinations or exemptions may be required.
When is the deadline for submission?
The deadlines vary per term: August 1 for Fall, December 1 for Spring, and dates for Summer terms.
What happens if I don't submit this form?
Failure to submit could result in restrictions on class registration or attendance.
Is there support available if I have questions?
Yes, you can contact Medicat Compliance Services for assistance.
Can parents fill this form out for underage students?
Parents or guardians must sign the form for students under 18.
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