Immunization Records

All students are required to submit their immunization information to Health Services. If you have not already submitted your Immunization Record Form, you may download and complete the form below and fax it to 631.654.3602.

Immunization Record Form

Immunization Requirements

Please be advised of the mandatory immunization requirements. Immunizations must be met prior to the first day of classes for each semester. See information below regarding each individual requirement.

Measles, Mumps, and Rubella 
New York State law requires all students registered for 6 or more credits, born on or after January 1, 1957, prove immunity to measles, mumps, and rubella. Students who are not in compliance with the mandatory requirements will not be allowed to attend the College, or participate in extra-curricular or co-curricular activities. 

Public Health Law 2165 requires proof of immunity for measles, mumps and rubella:

Measles
1. Two doses of live measles vaccine given on or after the first birthday, or 
2. Physician documented history of disease, or 
3. Titers (a blood test) showing immunity 

Mumps
1. One dose of live mumps vaccine given on or after the first birthday, or 
2. Physician documented history of the disease, or 
3. Titers showing immunity 

Rubella 
1. One dose of live virus rubella given on or after the first birthday, or 
2. Titers showing immunity

Students must also comply with Public Health Law 2167 related to meningitis response. 

New York State Public Health Law (NYS PHL) 2167 requires institutions (including colleges and universities) to distribute information about meningococcal disease and vaccination to all students meeting the enrollment criteria, whether they live on or off campus. 

Colleges in New York State are required to maintain a record of the following for each student: 

• A response to receipt of meningococcal disease and vaccine information signed by the student or student’s parent or guardian.
• A record of meningococcal meningitis immunization within the past 10 years OR
• An acknowledgement of meningococcal disease risks and refusal of meningococcal meningitis immunization signed by the student or student’s parent or guardian.

Prior to the first day of class, students must provide documentation that proves they have received the required immunizations. In order to maintain Department of Health compliance, the Center is responsible for following up with students who do not submit their medical records. Copies of medical records can be provided to students who have graduated or are transferring.