Click the link(s) below to retrieve the necessary form(s).

Student Immunization Record Form

Meningococcal Meningitis Vaccination Response Form


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.


Cultural Centers

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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.

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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.

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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.