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Health and Immunization Requirements for International Summer Program Participants

PLEASE NOTE: This information is for International Summer Program Participants Only. International Students attending for at least one semester are required to complete the Health History/Physical and Immunization Form

Welcome to SUNY Canton! My name is Patty Todd and I am the Director of SUNY Canton’s Davis Health Center. All of the staff at the Health Center hope that your time here will be enjoyable, educational and healthy.

In order to participate in our summer program, you must complete the International Summer Participant Health and Immunization Form. This is a mandatory form which includes vaccinations that are required by law in order to reside on the college campus. You will not be allowed to come to SUNY Canton without completing and submitting the form. This form must be submitted four (4) weeks before your arrival on campus.


The Health Form has Five (5) Parts that need to be completed!

International Summer Participant Health and Immunization Form PDF Download Adobe Reader here

Part One and Two: Immunization and Tuberculosis Screening
Print the downloaded form and have your healthcare provider complete the immunization and tuberculosis screening section being sure that all the sections are completed and signed by your healthcare provider.

The Health and Immunization Form has a number of immunization series to complete. If you have questions about the immunization and/or tuberculosis screening requirements, please email: toddpa@canton.edu

Part Three: The State of New York Meningococcal Response Form
The State of New York requires that you receive information about meningococcal meningitis and the vaccine and that you sign a document stating that they have either received a vaccination against meningococcal disease or reviewed the information and declined to be vaccinated. To review important facts about meningococcal meningitis and meningococcal disease, you should review the following: Important Facts About Meningococcal Disease

Part Four: Complete your personal health information making sure you answer all the questions in the section.

Part Five: Get the completed form to the Health Center by mail by using the address at the bottom of the form or email it as a PDF document to toddpa@canton.edu.

Part Six: You are finished with the Health Requirements. I look forward to meeting you!