Required Health and Immunization Forms

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

 

After you have registered and received your class schedule, please submit your required health forms via the Online Patient Portal. If you have not yet received your class schedule, you will not be able to access the portal.

Submission Deadlines:

Summer and Fall semesters: June 30
Spring semester: December 15

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 for All Students:

Please submit your health forms online via the Online Patient Portal. You must include your name and X-number on each page of each form.

If you are having issues with downloading the forms please make sure you have the latest version of your Internet browser downloaded.  We recommend using ChromeFirefox, or Safari.  Please note that the forms are not supported by Internet Explorer.

    For more information, please contact Student Health Services at 718-990-6360 (selection option 4 from menu).

    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.

    Learn more

    Can I submit my forms by e-mail?
    No, we do not accept forms via e-mail. You must use the Online Patient Portal or submit forms by fax or mail or in person to the Queens Campus Health Center.

    How can I confirm your office received my forms?
    You can call us at 718-990-6360 and select option 4 from the menu; however, we do ask for your patience due to the high volume of calls.

    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. Health forms can be submitted online via the Online Patient Portal.

    Per New York State Public Health Laws 2165 and 2167, your University enrollment will be canceled if you do not submit the required forms.