Immunization Forms
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Click here to retrieve the necessary Immunization Form. Print the form, take it to your doctor or clinic, have it filled out and bring it to Health Services, MC-02 to have it put on file.
Please remember to check the appropriate box that applies to you.
Please fax, mail or bring in the forms:
Health Services
Medical Arts Building, MC-02
Phone: (718) 631-6375
Fax: (718) 631-6330
M-F between 9 am – 4 pm
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