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Health/Immunization Requirements

Below are the Mandatory Health/Immunization Requirements all students must complete no later than August 1, 2020. 

All requirements must be uploaded/completed within our student health portal . 

Please see the COVID-19 test requirement and Health Screening Attestation pages for mandatory requirements.   
Obtain Immunization Records 

8/14/2020 As part of Restart Geneseo all students, on and off campus, MUST complete a  health screening form on the day they return to the Geneseo Campus

8/3/2020 There are new COVID testing requirements BEFORE returning to campus. Please go HERE to view the new mandatory testing requirements.

Proof of the following REQUIRED NYS requirements.

  • MMR (Measles, Mumps, Rubella) Dose 1, no more than 4 days prior to student's first birthday MMR (Measles, Mumps, Rubella) 
  • MMR (Measles, Mumps, Rubella) Dose 2 , at least 28 days after the first dose
  • Meningococcal ACWY with in the last 5 years OR 2 or 3 dose series Meningococcal B OR Meningococcal Waiver 

HIGHLY Recommended Immunizations

  • Tetanus- Diphtheria- Pertussis (Td, TDAP)
  • Hepatitis A and B
  • Gardasil (HPV)
  • Varicella

What is an Acceptable Immunization Record and where can I obtain them?

Download our Immunization Record form for your medical provider to complete. Located on the health portal under medical clearances/immunization record/download. Contact your primary care Doctor for a copy or print (with your name) from their health portal.

A copy of your immunizations (including actual dates) on an official government/school letterhead — the simplest place to obtain this may be from your most recently attended high school or college; OR A copy of your immunizations (including actual dates) on physician’s letterhead with dated Doctor/Provider signature, which includes printed name, address and telephone number; OR Have a blood test to confirm immunity. Please note: a copy of the lab report must be provided to Student Health Services. Please note that the documentation must be in English and must have students name and date of birth. 

  • High School - These records must contain adequate information (including actual days) for each immunization.
  • Local Health Departments - If primary immunizations were received at your County Health Department request a certified copy from there (including actual days) .
  • Transfer Students - Obtain a copy of your immunizations from your previously attended school by getting in direct contact with the Health Service (including actual days) .

    Can I submit titers to prove immunity?

    Serum titers are blood tests that measure whether or not you are immune to a given disease(s). More specifically a quantitative serum titer is a titer with a numerical value indicating your actual degree of immunity to a disease(s). When titers are drawn they must be quantitative titers, and you must upload copies of the official laboratory printouts containing the numerical values for Mumps, Measles and Rubella immunity to the health portal under medical clearances/immunization upload.  

    If the titer for a specific disease shows that you’re not immune, you will need to get vaccinated or re-vaccinated (also known as getting a booster).

Recent Physical
  • First year students/Transfer students within the last 24 months from arrival on campus.
  • If you will not be using our Physical health form (located on your health portal) you may use your providers form or a print out of a valid physical from your providers portal.
    • A valid physical must have: 
      • students name
      • date of physical
      • signature of provider or from the providers portal it must show the providers information.  
      • statement that the student is healthy to attend college
  • Potential varsity athletes within 6 months of the start of your sport. Must complete additional information at Sports Medicine in the  Medical Forms section.
 Consent for Treatment (online form)
  • Read and acknowledge the online Consent for Treatment, which explains our privacy policies and consent for treatment.
  • ​​​If you will be 17 after you arrive on campus, your parents/guardians will need to print and complete the Minor Consent Form located within Upload/Download forms. Once completed upload the minor consent to the same location.
Health History (online form)

Here you will enter your allergies, medications, personal health history as well as family history. 

TB Screening (online questionnaire)

Respond to ALL questions with a YES or No answer.

  • If all the responses are NO, there is nothing further to complete. CLICK submit.
  • If you answered YES to one of the following, you will need laboratory proof of an Interferon Gamma Release Assay (IGRA) blood test. 
    • Born in one of the countries listed as having a high incidence of active TB
    • Received a BCG vaccine
    • Have had a positive skin PPD test in the past
  • If you answer YES to any other question, not listed above:
    • Provide a negative skin test (PPD) performed within the last 12 months.

For any concerns, contact Laura Evans directly: 

Email: , Phone: 585-245-6284 , Fax: 585-245-5015

This screening was created using the following resources:;;


Insurance Information (online form)

Form to enter your current health insurance information.  

Please contact your insurance company to verify that our lab, Quest-Pittsburgh, is in your network and whether or not you are required to obtain prior authorization for labs. You will be responsible for any charges your health insurance does not cover.

HIV Testing Acknowledgement (online acknowledgement)

Statement acknowledging that you understand that Student Health & Counseling offers HIV testing. This does not require that you have HIV testing. It is making you aware that HIV testing is available if you wish to get tested.

Over Age 19 NYSIIS (New York State Immunization Information System) Consent

The New York State Immunization Information System (NYSIIS) is a confidential, computerized system that contains (shot) immunization records and allows authorized users access to a person’s shot record. Participation in NYSIIS is for people 19 years of age and older is voluntary, so your consent is needed to complete this process. 

Student Athlete Information

Student athletes must submit all the health requirements listed herein as well as additional information required by the Athletics Department at Sports Medicine in the  Medical Forms section.