Required Health Forms

New York State Law requires all students born on or after January 1, 1957 registering for six or more credits to prove immunity to measles, mumps, and rubella.

All students registering for six or more credits must submit:
•Immunization Record
•Report of Medical History

All International and Resident Students must complete the following:
•Immunization Record
•Report of Health Evaluation
•Report of Health History

Required Immunizations

Measles (Rubeola):

•The student must submit proof of two doses of live measles vaccine given after 1967. The first dose given no more than 4 days prior to the student’s first birthday and the second dose at least 28 days after the first dose; or
•The student must submit serological proof of immunity to measles through a lab report from an approved medical laboratory confirming immunity; or
•The student must submit a statement from the diagnosing physician, physician assistant or nurse practitioner that the student has had measles disease.

Mumps:

•The student must submit proof of one dose of live mumps vaccine given after 1968 and no more than 4 days prior to the student’s first birthday; or
•The student must submit serological proof of immunity to mumps through a lab report from an approved medical laboratory confirming immunity; or
•The student must submit a statement from the diagnosing physician, physician assistant or nurse practitioner that the student has had mumps disease.

Rubella (German measles):

•The student must submit proof of one dose of live rubella vaccine given after 1968 and no more than 4 days prior to the student’s first birthday; or
•The student must submit serological proof of immunity to rubella through a lab report from an approved medical laboratory confirming immunity (Since rubella rashes resemble rashes of other diseases, it is impossible to diagnose reliably on clinical grounds alone. Serological evidence is the only permissible alternative to immunization).

Meningitis - the meningitis vaccine is not required, however, all students registering for six or more credits must submit one of the following:

•Certificate of immunization for meningococcal meningitis disease within the past ten years; or
•An acknowledgement of meningococcal disease risks and refusal of meningococcal meningitis immunization signed by the student or student’s parent or guardian if under the age of 18.

•Late admits must submit all necessary paperwork prior to registration.
•Students who fail to supply the necessary records will be academically withdrawn from classes and removed from resident housing on the 30th day from the start of the semester.
•Out of state and International students are allowed an extended period of up to 45 days to submit necessary records.
•Correspondence related to insufficient records will be communicated via student Saint Rose email accounts and primary residence provided by the student.
•Students may be reinstated, within a two week period from the date of academic withdrawal only, by submitting all required forms and paying a $200 reinstatement fee.
•Students who wish to register on-line must submit a completed Immunization Record.