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Download the Student Immunization Record Form.
Meningococcal Meningitis
On July 22, 2003, Governor Pataki signed New York State Public Health Law 2167 requiring institutions, including colleges and universities, to distribute information about meningococcal disease and vaccination to all students meeting the enrollment criteria, whether they live on or off campus. This law is effective as of August 15, 2003.
Empire State College is required to maintain a record of the following for each student:
- A response to receipt of meningococcal disease and vaccine information signed by the student or student's parent or guardian. This must include information on the availability and cost of meningococcal meningitis vaccine (Menomune);
AND EITHER
- A record of meningococcal meningitis immunization within the past 10 years; OR
- An acknowledgment of meningococcal disease risks and refusal of meningococcal meningitis immunization signed by the student or student's parent or guardian.
Proof of Immunization Requirements
Students born on or after January 1, 1957, except those matriculated in the Center for Distance Learning and Center for International Programs, must comply with New York State Public Health Law 2165 requiring immunization for measles, mumps and rubella.
Measles (Rubeola) - Two doses of live measles vaccine
- both must be given after 1967
- the first dose must have been administered on or after the first birthday
- the second dose at least 30 days later and after 15 months of age
- physician-verified history of measles disease or a blood test (titer) showing immunity
Mumps - One dose of live mumps vaccine
- administered on or after the first birthday
- blood test (titer) showing immunity
- physician-verified history of mumps disease
Rubella (German Measles) - One dose of live rubella vaccine
- administered on or after the first birthday
- blood test (titer) showing immunity
To learn more about meningitis, measles, mumps and rubella, please consult with your physician or you can find additional information at the New York State Department of Health Website: http://www.health.state.ny.us.
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