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Meningococcal Meningitis Vaccination Response Form (PDF) - berkeleycollege

Meningococcal Meningitis Vaccination Response Form (PDF) - berkeleycollege 2026

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The document is a Meningococcal Meningitis Vaccination Response Form from Berkeley College, requiring students to confirm their vaccination status or acknowledge the risks of not being vaccinated before matriculation. It outlines options for receiving the vaccine and includes sections for student and parent/guardian signatures.

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Click ‘Get Form’ to open it in the editor.
Begin by entering your name and student ID number in the designated fields at the top of the form. Ensure that all information is accurate for proper identification.
Next, review the options regarding meningococcal meningitis immunization. Select one of the three checkboxes based on your vaccination status or decision regarding immunization.
If you have received the vaccine, enter the date received in the provided space. If applicable, note any previous vaccines and their details as indicated.
For students under 18, a parent or guardian must sign in the designated area. Ensure that both signatures are clear and legible.
Finally, add the date of completion at the bottom of the form before submitting it to ensure timely processing by the Admissions Department.

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Is the Hep B vaccine required for college?

All students under age 21 taking six credits or more must provide proof of vaccination against Meningococcal Meningitis (serogroups A,C,W,Y) on or after your 16th birthday and within the last five years.

Is meningococcal B necessary?

Students enrolled full-time in a public or private postsecondary institution must have vaccinations against hepatitis B and MMR unless enrolled in courses delivered via distance learning.

Do you need meningococcal B vaccine for college?

The MenB vaccine is not routinely recommended for college students. However, some colleges and universities require MenB vaccination for incoming students. While small outbreaks of meningococcal serogroup B disease have occurred on college campuses, the disease incidence in college students remains very low.

Do I need meningitis B vaccine for college?

Messinas advice to parents: For the most complete protection I would recommend giving teens both meningitis vaccines even though the meningitis B is optional on the CDC schedule. This vaccine is so important because this disease is so fatal, and there is almost no time to intervene once your child becomes ill.

What is a meningitis response form?

Provide information about a students past immunization for meningitis, or confirm that the student will not be immunized. If student is a minor, you can also use this form to provide consent for general medical treatment by Student Health Services.

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How do I opt out of meningitis vaccine?

Exemptions: Students may begin classes without a certificate of immunization against meningococcal disease if: 1) the student has a letter from a physician stating that there is a medical reason why he/she cant receive the vaccine; 2) the student (or the students parent or legal guardian, if the student is a minor)

Meningococcal Meningitis Vaccination Response Form (PDF) - berkeleycollege 2026

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Is the Hep B vaccine required for college?

Is meningococcal B necessary?

Do you need meningococcal B vaccine for college?

Do I need meningitis B vaccine for college?

What is a meningitis response form?

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How do I opt out of meningitis vaccine?

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