Immunizations Waiver Form for Online-Only Students

Request a waiver of the measles, mumps and rubella immunization requirement if you are registering for online courses only, and you will not physically attend classes on any of UB’s campuses.

If you did not yet read the informational immunization and meningitis requirements, 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