On-Line Forms

The following forms are available for you to download. The Immunization Form is required for every enrolled PART-TIME or FULL-TIME UNDERGRAD OR GRAD student of Fordham University per the New York State Department of Health. The following Vaccines are required by NYS Law 2 Measles, 1 Mumps and 1 Rubella, and the Meningitis vaccine or the refusing the Meningitis signed waiver. Please note that the Physical Examination portion of the Health Form is highly recommended for incoming undergraduate freshman only. Immunization Hotline 718-817-0940

Forms: Acrobat PDF: MS Word:
Immunization and Meninigitis waiver form and Undergraduate Physical Form

Allergy Injection form
Only for students who will want to get their Allergy shots at the University Health Services

Medical or Record Release Form


There is a $3.00 dollar charge for copies, Records cannot be sent out until we receive the form and payment

Advance Directives   www.health.state.ny.us/

Having Problems viewing forms?
Download either form viewer below for the corresponding form type above. Note, some PDF forms allow you to fill-in the form on your computer before printing.

What is Acrobat?
Adobe Acrobat Reader is a free download that lets you view and print Adobe Portable Document Format (PDF) files. With Acrobat Reader, you can also fill in and print PDF forms straight to your printer.

Adobe, Acrobat and Adobe Acrobat Reader are registered trademarks of Adobe Systems Inc

Download Acrobat Reader

What is MS Word Viewer?
This download is for users who don't have Microsoft Word; it allows them to open and view Word 97 and Word 2000 documents.
Microsoft is a registered trademark of Microsoft Corp.

Download MS Word Viewer

Site   | Directories
Submit Search Request