Immunizations Waiver Form for New Non-Degree Students Taking Fewer Than Six Credit Hours

Request a waiver of the measles, mumps and rubella immunization requirement for one semester if you are a new non-degree student taking fewer than six credit hours.

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

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

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