{"id":48,"date":"2020-06-03T11:24:30","date_gmt":"2020-06-03T15:24:30","guid":{"rendered":"https:\/\/www.adelphi.edu\/health\/?page_id=48"},"modified":"2025-10-31T14:22:41","modified_gmt":"2025-10-31T18:22:41","slug":"forms-and-requirements","status":"publish","type":"page","link":"https:\/\/www.adelphi.edu\/health\/forms-and-requirements\/","title":{"rendered":"Forms &#038; Requirements"},"content":{"rendered":"<h2>Immunization Requirements<\/h2>\n<p>Please be advised of the mandatory immunization requirements for <a href=\"https:\/\/www.adelphi.edu\/health\/forms-and-requirements\/measles-mumps-and-rubella-immunization-requirements\/\">Measles, Mumps, and Rubella<\/a> and <a href=\"https:\/\/www.adelphi.edu\/health\/forms-and-requirements\/meningococcal-disease-immunization-requirements\/\">Meningococcal Disease (Meningitis) Immunizations<\/a> must be met prior to the first day of classes for each semester!<\/p>\n<h3>Forms<\/h3>\n<ul>\n<li><a href=\"https:\/\/www.adelphi.edu\/health\/wp-content\/uploads\/sites\/30\/2023\/04\/Complete-Health-and-Immunization-Forms_April-18-2023.pdf\">Complete Health and Immunization Forms<\/a> (PDF)<br \/>\n(includes Health History and Assessment, MMR Immunization Requirement Form and Meningococcal Meningitis Vaccine Response Form.)<\/li>\n<li><a href=\"https:\/\/www.adelphi.edu\/health\/wp-content\/uploads\/sites\/30\/2020\/06\/Health-Clearance-Form.pdf\">Annual Health History and Physical Form<\/a> (PDF)<br \/>\n(Part C of the Complete Health and Immunization Forms. This form must be re-submitted annually by students in certain programs prior to beginning field work, including nursing students in clinical rotations and education students working in schools.)<\/li>\n<li><a href=\"https:\/\/www.adelphi.edu\/health\/wp-content\/uploads\/sites\/30\/2020\/06\/Declination-of-Hepatitis-B-Vaccine.pdf\">Declination of Hepatitis B Vaccine Form<\/a> (PDF)<\/li>\n<li><a href=\"https:\/\/www.adelphi.edu\/health\/wp-content\/uploads\/sites\/30\/2020\/06\/Release-of-Patient-Health-Information.pdf\">Release of Patient Health Information Form<\/a> (PDF)<\/li>\n<li><a href=\"https:\/\/www.adelphi.edu\/health\/wp-content\/uploads\/sites\/30\/2020\/06\/Influenza-Vaccination-Form.pdf\">Influenza Vaccination Form<\/a> (PDF)<\/li>\n<li><a href=\"https:\/\/www.adelphi.edu\/health\/wp-content\/uploads\/sites\/30\/2020\/07\/Athletic-Pre-Assess-2020.pdf\">Athletic Clearance<\/a>\u00a0(PDF)<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Immunization Requirements Please be advised of the mandatory immunization requirements for Measles, Mumps, and Rubella and Meningococcal Disease (Meningitis) Immunizations must be met prior to the first day of classes for each semester! Forms Complete Health and Immunization Forms (PDF) (includes Health History and Assessment, MMR Immunization Requirement Form and Meningococcal Meningitis Vaccine Response Form.)&hellip;<\/p>\n","protected":false},"author":11,"featured_media":0,"parent":0,"menu_order":1,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-48","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<title>Health Forms &amp; Requirements | Immunizations &amp; Health Insurance<\/title>\n<meta name=\"description\" content=\"Find the forms and requirements needed before you come to 91国产&#039;s campus. 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These forms are important to the Health Services Center.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.adelphi.edu\/health\/forms-and-requirements\/\" \/>\n<meta property=\"og:site_name\" content=\"Health Services\" \/>\n<meta property=\"article:modified_time\" content=\"2025-10-31T18:22:41+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.adelphi.edu\/health\/wp-content\/uploads\/sites\/30\/2022\/10\/Health-Services-58-1024x681.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1024\" \/>\n\t<meta property=\"og:image:height\" content=\"681\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"1 minute\" \/>","yoast_head_json":{"title":"Health Forms & Requirements | Immunizations & Health Insurance","description":"Find the forms and requirements needed before you come to 91国产's campus. 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These forms are important to the Health Services Center.","og_url":"https:\/\/www.adelphi.edu\/health\/forms-and-requirements\/","og_site_name":"Health Services","article_modified_time":"2025-10-31T18:22:41+00:00","og_image":[{"width":1024,"height":681,"url":"https:\/\/www.adelphi.edu\/health\/wp-content\/uploads\/sites\/30\/2022\/10\/Health-Services-58-1024x681.jpg","type":"image\/jpeg"}],"twitter_card":"summary_large_image","twitter_misc":{"Est. reading time":"1 minute"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/www.adelphi.edu\/health\/forms-and-requirements\/","url":"https:\/\/www.adelphi.edu\/health\/forms-and-requirements\/","name":"Health Forms & Requirements | Immunizations & Health Insurance","isPartOf":{"@id":"https:\/\/www.adelphi.edu\/health\/#website"},"datePublished":"2020-06-03T15:24:30+00:00","dateModified":"2025-10-31T18:22:41+00:00","description":"Find the forms and requirements needed before you come to 91国产's campus. 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