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Immunization record - CCNY - CUNY 2026

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The document is an Immunization Record form required for students at a postsecondary institution, specifically addressing the proof of immunity to measles, mumps, and rubella as mandated by New York State Public Health Law. It outlines the necessary information that students must provide, including personal details and immunization history, as well as instructions for obtaining and submitting records. Additionally, it includes a section on meningococcal vaccination requirements and recommendations.

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Click ‘Get Form’ to open the immunization record in the editor.
Begin by filling out your personal information in the 'Student Information' section. Include your name, complete address, date of birth, EMPL ID, daytime phone number, and email address.
In 'Part 1: Immunization History', ensure that a health care provider completes this section. They must provide dates for MMR vaccinations and include their official stamp.
For 'Part 2: Meningococcal Meningitis', check one box indicating your vaccination status and sign in Section B. If under 18, a parent or guardian must also sign.
Review all entries for accuracy before saving your completed form. Use our platform's features to easily edit any mistakes.

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2018	4.9 Satisfied (55 Votes)
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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Do doctors keep immunization records?

Doctors and health clinics keep records of the vaccines they give to your child. Keep in mind that they may save records for only a few years. If your child has gotten vaccines at different locations, you may have to contact each of them to get your childs records.

How can I find my old vaccination records?

visits you made to local public health departments or neighborhood clinics. When physicians retire or a medical practice changes hands, old patient records may be sent to a medical record storage company. You may be able to obtain records directly from the company for a fee. baby books and school or camp forms.

Does Colorado have an immunization registry?

The Colorado Immunization Information System (CIIS) is a lifelong immunization record tracking system under the Colorado Immunization Registry Act of 2007. CIIS has signed agreements with all participating sites that are authorized to provide information to or access information from CIIS.

Does New York State keep immunization records?

The New York State Immunization Information System (NYSIIS) is an electronic registry that maintains immunization records for New York State children and adults.

How do I get my immunization records in NYC?

By Mail or Fax You may also call 311 to request that a copy of the application be mailed to you. Record requests by mail or fax take about two weeks to process. For more information, email CIR at NYCvaxrecord@health.nyc.gov. Do not send personal identifying information over email.

ny immunization record form

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How do I submit medical records to CCNY?

Or you may scan or take a picture of your completed form and records, and upload them to our secure transfer link: . If you have any questions, feel free to email us at shs@ccny.cuny.edu or call us at 212-250-8222.

How to submit immunization records to cuny bmcc?

You will need to download and complete an MMR/Meningitis immunization form before you can register for classes. You will need to submit proof of two doses of measles, one of mumps and one of rubella. Submit a PDF via email to healthservices@bmcc.cuny.edu.

Immunization record - CCNY - CUNY 2026

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See more immunization record - CCNY - CUNY versions

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Got questions?

Do doctors keep immunization records?

How can I find my old vaccination records?

Does Colorado have an immunization registry?

Does New York State keep immunization records?

How do I get my immunization records in NYC?

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How do I submit medical records to CCNY?

How to submit immunization records to cuny bmcc?

ccny immunization record

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