Meningitis Response Form & Consent to Treat Minors

Provide information about a student’s past immunization for meningitis, or confirm that the student will not be immunized.

If you did not yet read the informational immunization and meningitis requirements, please do that before completing and submitting this form.

Students cannot register for classes until they have fulfilled the meningitis information requirements listed on this form.

For the best experience use a non-mobile device.

To Submit this Form, or Get Help

Health Services

Student Life

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

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