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

NYS Vaccination Clinics

UB's Health Services is unable to provide information about the NY State Department of Health’s COVID vaccination clinics being held at Harriman Hall on UB’s South Campus. For information about these clinics, including eligibility and to make an appointment, please call the NYS Health Department’s COVID vaccine hotline phone number: 1-833-697-4829 (1-833-NYS-4-VAX) or refer to their website.