Health Forms

The Immunization Form is required for all enrolled students of Fordham University per the New York State Department of Health. You may access the Immunization form below or through your Fordham Student Health Portal which is located in your Fordham account under My Apps, in the Health and Wellness section. When you enter the Fordham Student Health Portal, click on My Forms and choose Immunization Form. This will bring you to the electronic Immunization form. Once you have completed the required forms, you may enter your Immunization information into the electronic Immunization form and upload the supporting document to your Student Health Portal.

NYS Public Health Law Section 2165 requires all students attending post-secondary institutions born on or after January 1, 1957 and registered for 6 or more credit hours to demonstrate immunity to Measles, Mumps and Rubella. NYS Public Health Law 2167 requires post-secondary institutions to distribute a form with written information about the risks of meningococcal meningitis and the benefits of meningococcal immunization to each student who is enrolled for at least 6 semester hours. Here at Fordham,the Meningitis vaccines are highly recommended. If a student has not received the Meningitis ACWY vaccine within the past 5 years and a complete 2 or 3 dose series of Meningitis B vaccine, they must sign the Meningitis Response form indicating you received and read the Meningitis Fact Sheet. This form can be located at the bottom of page 4 of the Immunization documents.

Fordham University will require all students- undergraduates and students in graduate and professional schools-- to be vaccinated by the opening of the Fall semester (medical and religious accommodations will be considered).

Vaccine Fees

Request For Exemption From NYS Vaccination Law 2165 Requirements

Immunization Form

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 anaphylaxis or severe allergic reactions.

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

Allergen Guide Book for the Rose Hill Campus 

Allergen Guide Book for the Lincoln Center Campus

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) (Health Care Proxy Form)

Summer Leaders Academy Health Forms

Summer Leaders Academy Medical Information Form

AAP Allergy and Anaphylaxis Plan Form