York College Student Health Services Center

How to submit — by Rafael Nunez — last modified Feb 09, 2021
FREE Immunization — by Rafael Nunez — last modified Feb 09, 2021

Immunization Record Form

The Immunization Record form is completed and signed by the student ONLY. If the student is less than 18 years then the parent/guardian signs the form.

Download Fillable CUNY Immunization Record Form & Meningitis Fact Sheet 04182020.pdf — 809 KB

Email StudHealthSvcCtr@york.cuny.edu if you need assistance. Follow us on twitter @york_health for updated information.