Immunization and Physical Exam Requirements

 

New York State Law requires that students who are on campus for six credits or more need to have proof of two MMR's (Measles, Mumps & Rubella) received after the first birthday and at least 28 days apart. This law applies to all students born after January 1, 1957.  A copy of an official record (such as a high school, prior college or military record) may be submitted to satisfy this requirement.  

A Public Health Law effective August 15, 2003 makes it mandatory for ALL college students taking six or more credits on campus to receive information about Meningitis Disease and Vaccine. A Meningitis information sheet can be accessed here. ALL students must have a record of receiving the Meningitis Vaccine OR sign a waiver declining the vaccine.

You must submit the required health information prior to beginning classes. Holds will be placed on your student account until these requirements are met.  (This means that no transactions can be made on your student account - i.e.: dropping/adding classes, financial refunds, etc.)  
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PROOF OF IMMUNIZATIONS IS REQUIRED FOR:  ALL students in ALL programs

IMMUNIZATION REQUIREMENTS - click here for Immunization Form
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A Tb MANTOUX IS REQUIRED FOR:  Students enrolled in the Childhood Education, Early Childhood and PTA programs, and all international students.

IMMUNIZATION REQUIREMENTS - click here for Immunization Form
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A PHYSICAL EXAM IS REQUIRED FOR:  Athletes, and students in the PTA and Pre-Employment Police Academy.

ATHLETES USE THIS FORM - click here for Athletic Physical Form 
PTA & POLICE ACADEMY USE THIS FORM - click here for Physical Exam/History Form
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REQUESTING RECORDS FROM HERKIMER COLLEGE:

To request a copy of your health records from Herkimer College, please complete and submit a Health Records Request Form: click here for Health Record Request Form
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PLEASE SUBMIT REQUIRED INFORMATION TO:

The Office of the Dean of Students/Director of Athletics
CA 264
315.866.1808 fax
DeanofStudents@Herkimer.edu

If you have questions, please call the Office of the Dean of Students/Director of Athletics at 315-574.4009