Immunization Record Form. Required form for all Hunter students that documents vaccinations 2025

1. Click ‘Get Form’ to open it in our editor.
2. Begin with Part 1: Student Information. Fill in your last name, first name, middle initial, date of birth, CUNY EMPL ID, daytime phone number, and email address. Ensure all information is accurate and legible.
3. Proceed to Part 2: Immunization History. This section must be completed by a healthcare provider. Ensure they document all required vaccinations with dates and include their official stamp.
4. In Part 3: Meningococcal Meningitis, check the appropriate box regarding your immunization status and sign in Section B. If under 18, a parent or guardian must also sign.
5. Review the entire form for completeness and accuracy before submission. You can submit it in person, via fax, or upload it on CUNYfirst as instructed.

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