Provide information about a student’s past immunization for meningitis, or confirm that the student will not be immunized. If student is a minor, you can also use this form to provide consent for general medical treatment by Student Health Services.
If you did not yet read the informational immunization and meningitis requirements, please do that before completing and submitting this form.
Students cannot register for classes until they have fulfilled the meningitis information requirements listed on this form.
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Student Life
University at Buffalo
4350 Maple Rd
Amherst, NY 14226
Phone: (716) 829-3316; Fax: (716) 829-2564
