Stony brook meningitis form 2026

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  1. Click ‘Get Form’ to open the Stony Brook Meningitis Form in our editor.
  2. Begin by filling in your personal details. Enter your last name, first name, middle name, and Stony Brook ID# in the designated fields.
  3. Provide your home address including street/apartment number, city/town, state/province, zip code, and country (if not U.S.).
  4. Next, input your contact information: home phone, cell phone, and email address.
  5. Fill out the emergency contact section by providing their name, relationship to you, and phone number.
  6. Review the compliance statement regarding meningococcal disease. Check one of the boxes indicating whether you have received the immunization or have read the information provided.
  7. Sign the form. If you are a minor, ensure that a parent or guardian signs it and indicates their relationship to you.
  8. Finally, remember to make a copy of this form for your records before mailing it directly to the Director of Student Health Service at Stony Brook University.

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Meningococcal disease is rare but serious. About 1,000 people in the U.S. get meningococcal disease each year. After infancy, older adolescents and young adults have the highest rate of meningococcal disease. College freshmen living in dorms are particularly at risk.
The bacteria that can cause bacterial meningitis are spread by direct secretions (saliva or spit) from the nose and mouth, through activities such as kissing, sharing food, drinks, water bottles, toothbrushes, eating utensils, cigarettes and other smoking products/devices.
While both the meningitis vaccines (ACWY and B) are listed on the CDCs list of recommended vaccinations, the serogroup B meningococcal vaccine, which provides immunity for meningitis B, is less often required for school/college admission.
Bacterial meningitis, also known as meningitis B, can spread by sneezing or kissing, and sharing straws or drinks, among other ways. Dr. Ardon says college students are a group at higher risk for contracting meningitis due to their living conditions.
Provide information about a students past immunization for meningitis, or confirm that the student will not be immunized.
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Certain college students have been found to be at increased risk for meningococcal meningitis. In fact, first year students living in dormitories are found to have a six-fold increased risk for the disease compared to all undergraduates.
Students, especially those living in residence halls, are thought to be more at risk of contracting the disease because of their close proximity to each other and because of sharing items such as cups, cutlery and water bottles. Young adults are also particularly at risk as they are carriers of the disease.
Common bacteria or viruses that can cause meningitis can spread through coughing, sneezing, kissing, or sharing eating utensils, a toothbrush or a cigarette. These steps can help prevent meningitis: Wash your hands. Careful hand-washing helps prevent the spread of germs.

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