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Health Forms

Please note: Due to the high volume of paperwork please DO NOT send the instruction sheets back to us. We only need the health forms. Thank you!

The Immunization Form is required for all enrolled students of Fordham University per the New York State Department of Health.

The following vaccines are required by NYS Law: 2 Measles, 2 Mumps, and 1 Rubella. The meningitis vaccine is highly recommended.  If the student has not received the meningitis ACWY vaccine within the past 5 years or a complete 2 or 3 dose series of meningitis B vaccine, they must sign the meningitis response form.

Please note: Freshman may not have access to the Student Health Portal. Students may fax or email the forms to University Health Services. Please see instructions on forms.

Immunization Form 

Request For Exemption From NYS Vaccination Law 2165 Requirements

Incoming Student Physical Form 
Please note that the Physical Examination is highly recommended for the incoming students who have a significant past medical history, are on medications, or have a history of anaphlaxis or severe allergic reactions.

Food Allergy Forms
Food Allergy forms are highly recommended for incoming students who have a significant history of anaphlaxis or severe allergic reactions.

View the Allergen Guide Book

Allergy Injection Form
Only for students who will need to get their Allergy Immunotherapy at the University Health Services. Students should bring these required documents and their serums to University Health Services before scheduling their first appointment.  

Records Release Form (only for currently enrolled students and alumni)
This form is for University Health Services' staff to release medical records to a doctor's office or another institution.

Advance Directives (Health Care Proxy Form)

Immunization Hotline 718-817-0940