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Required Health and Immunization Forms

Get your required health forms submitted by the deadlines to avoid any disruption to your enrollment

Please note: Submit your health forms online via the Online Patient Portal.

Submission Deadlines:

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:

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
Tel: 718-990-6360
Fax: 718-990-2368


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.