SJC Brooklyn

Immunization Records

Immunization records are to be completed and handed in to the Counseling and Wellness Center in Tuohy Hall, Room 215, prior to the first day of classes. In order to maintain Department of Health compliance, the office is responsible for following up with students who do not submit their records. Please make sure to have the top and bottom part completed and signed by you and your parent or guardian.

“Please note that according to the New York State Public Health Law, no institutions shall permit any student to attend the institution in excess of 30 days without complying with this law.” You can find more information on the New York State Department of Health website.


Office of Counseling and Wellness Services
Room 215, Tuohy Hall
T: 718.940.5739
F: 718.399.2379

Immunization Record Form