Click the link(s) below to retrieve the necessary form(s) and CUNY immunization requirements:

Student Immunization Record Form

Meningococcal Meningitis Vaccination Response Form

CUNY Immunization Requirements

Please fax, mail or bring in the forms:

Office of Health Services
222-05 56th Avenue, Room MC-02
Phone: (718) 631-6375
Fax: (718) 631-6330

You will need Acrobat Reader, or equivalent, to view all documents. Click the logo below for a free version of Acrobat Reader.


Campus Cultural Centers

Kupferberg Holocaust Center
Kupferberg Holocaust Resource Center and Archives

Using the lessons of the Holocaust to educate current and future generations about the ramifications of unbridled prejudice, racism and stereotyping.

Queensborough Performing Arts Center
QPAC: Performing Arts Center

QPAC is an invaluable entertainment company in this region with a growing national reputation. The arts at QPAC continues to play a vital role in transforming lives and building stronger communities.

Queensborough Art Gallery
QCC Art Gallery

The QCC Art Gallery of the City University of New York is a vital educational and cultural resource for Queensborough Community College, the Borough of Queens and the surrounding communities.