Immunization Requirement Form for Pace University
This form is essential for Pace University students to provide proof of immunization for Measles, Mumps, Rubella, and Meningitis. It ensures compliance with New York State Public Health Law. Submit the completed form by the specified deadlines to avoid registration issues.
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How do I fill this out?
To fill out this form, start by entering your personal student information in Part One. Next, provide vaccination data for Measles, Mumps, and Rubella in Part Two, ensuring a healthcare provider certifies it. Finally, complete Part Three regarding Meningococcal Meningitis and submit by the due dates.
How to fill out the Immunization Requirement Form for Pace University?
1
Complete Part One with personal information.
2
Fill out vaccination dates in Part Two.
3
Ensure a healthcare provider certifies your vaccinations.
4
Answer questions for Meningococcal Meningitis in Part Three.
5
Submit the form by the relevant deadlines.
Who needs the Immunization Requirement Form for Pace University?
1
New students at Pace University need this form to enroll.
2
Current students must submit this form to maintain compliance.
3
Students in healthcare programs require it for clinical participation.
4
Students living on-campus need to provide immunization proof.
5
Incoming first-year students are encouraged to receive vaccinations.
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What are the instructions for submitting this form?
Submit the completed Immunization Requirement Form through the Patient Portal at www.pace.edu/patientportal. The deadlines for submission are Fall Term on August 1, Spring Term on December 1, Summer I on May 1, and Summer II on June 1. Ensure that supporting documents are attached where necessary for a smooth submission process.
What are the important dates for this form in 2024 and 2025?
For the year 2024, the deadlines are as follows: Fall Term - August 1, Spring Term - December 1, Summer I Term - May 1, Summer II Term - June 1. For 2025, these dates will likely remain the same; please verify with the University.
What is the purpose of this form?
The purpose of this form is to collect essential immunization information from students at Pace University. It ensures compliance with New York State Public Health Law regarding vaccinations. By completing this form, students help safeguard their health and the health of the university community.
Tell me about this form and its components and fields line-by-line.
- 1. Part One: Student Information: Collects personal details such as Student ID, name, date of birth, and contact information.
- 2. Part Two: Measles, Mumps, Rubella: Requires vaccination dates and certification from a healthcare provider.
- 3. Part Three: Meningococcal Meningitis: Mandatory acknowledgment of meningitis vaccination or information receipt.
What happens if I fail to submit this form?
Failing to submit this form can lead to enrollment issues and affect your ability to register for classes. Students may be prohibited from attending classes or participating in certain programs until compliance is achieved.
- Enrollment Delays: You may experience delays in enrollment and course registration.
- Prohibition from Classes: You may not be allowed to attend classes until the form is submitted.
- Program Participation Issues: Students in specific programs may be unable to participate without proper documentation.
How do I know when to use this form?
- 1. Enrollment Process: First-time students must complete and submit this form.
- 2. Annual Updates: Returning students may need to submit updated immunization information.
- 3. Healthcare Programs: Students in clinical programs must provide this form for compliance.
Frequently Asked Questions
What is the purpose of the Immunization Requirement Form?
This form ensures that students comply with state health laws regarding vaccinations.
How can I edit the form on PrintFriendly?
You can upload the form and utilize the editing tools to modify text and values.
What happens if I submit the form late?
Late submissions may affect your enrollment and registration status.
Do I need to submit vaccination documentation?
Yes, vaccination dates must be provided and certified by a healthcare provider.
Can I save the edited PDF on PrintFriendly?
You can download your edits directly after finishing the modifications.
Who can help me if I have questions about the form?
You can contact the University Health Care Office for assistance.
Is a parent signature required for students under 18?
Yes, a parent or guardian's signature is needed for compliance.
How do I submit the completed form?
The form can be submitted through the student portal or via email.
What if I am exempt from vaccinations?
You must provide documented proof of medical or religious exemption.
Where can I find additional resources?
Additional resources and contacts are available on the Pace University website.
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