Required Health and Immunization Forms
Please note: Submit your health forms online via the Online Patient Portal.
Summer and Fall semesters: May 15
Spring semester: December 15
As a St. John's University student, you must provide proof of immunity to measles, mumps, and rubella and acknowledge receipt of information regarding meningococcal disease or provide proof of meningococcal vaccine.
Per New York State Public Health Laws 2165 and 2167, your University enrollment will be canceled if you do not submit the required forms.
Please submit your health forms online via the Online Patient Portal. If you wish tos submit your forms by mail or fax or deliver in person, please print the following forms below:
Forms required to maintain enrollment:
- Immunization Form (PDF): Proof of immunization to Measles-Mumps-Rubella (MMR)
- Meningitis Form (PDF): Proof of vaccination or waiver stating you understand the risks of not being vaccinated
Health form required from all students:
- Medical History and Examination Form (PDF): Required by the University for all new students
You must include your name and X-number on each page of each form; deliver your completed forms to the Queens Campus Health Center:
Queens Campus Health Center
8000 Utopia Parkway
Queens, New York 11439
Please remember to make copies of your forms for your own records. If you would like us to make a copy at a future date, we can do so for a small fee.