Annual Immunizations Review (AIR) Form

Ensure that your immunizations are up to date. You must submit this form annually if you are a student in a health-related professions program.

If you did not yet read the informational Immunization Requirements in the Student Services Gateway, please do that before completing and submitting this form.

Download the Form

For the best experience use a non-mobile device.

Important Requirements

- This form requires the signature or stamp of your health care provider.

- Your health care provider must provide the requested information on this form. Students are not allowed to fill it out themselves.

-This form must be completed in English.

To Submit this Form, or Get Help

University at Buffalo
Michael Hall, 3435 Main Street, South Campus
Buffalo, NY 14214

Phone: (716) 829-3316; Fax: (716) 829-2564