Health Requirements

Failure to meet these requirements will place holds that block you from registering for courses.

Here are instructions that will show you how to check your immunization status.

Authorization for Release of Protected Health Information

To complete the form follow these instructions:

Box 5 – Name, Address, Phone Number and Fax Number of Provider or Entity to Release this information:  Fill in: Decker Student Health Services, 6000 Vestal Parkway E, Binghamton NY 13902, 607 777-2221 (PH) and 607 777-2881 (Fax)

Box 6 – This box needs to be filled in reflecting who will Decker Student Health Services be sending the information to

Box 7 – Purpose of information should reflect what information is needed. Example:  Immunization Health Records to be sent to Stanford University

Box 8 – Specific Health Information to Release   Example:  Immunization Health Records.    You should only initial the boxes for alcohol/drug treatment programs, clinical records from mental health programs, HIV/AIDS related information if you specifically need these records.  Otherwise DO NOT check these boxes.

Certificate of Immunization

Record of 2 MMR's (or documentation of 2 Measles, 1 Mumps, and 1 Rubella) is required by New York State law for entrance into Binghamton University.

There are 2 ways you can send us this information:

  1. Certificate of Immunization completed and signed by healthcare provider
  2. OFFICIAL DOCUMENTATION of your immunization history

*You do not need to send both forms if required information is complete on one form*

Meningococcal Immunization Requirment

One of the following is acceptable to meet the Meningitis requirement:

  • A vaccine record indicating at least 1 dose of Meningococcal ACWY vaccine within the last 5 years or a complete 2- or 3-dose series of MenB
  • A signed response form indicating that the student will obtain Meningococcal vaccine within 30 days
  • A signed response form indicating that the student will not obtain immunization against Meningococcal disease

Complete this form online:

  1. Log in to myhealth.binghamton.edu
    You will need your Binghamton University (PODS) computer account username and password.
  2. Select FORM near the top
  3. Select and complete the Meningococcal Vaccination Response Form

*If the student has not received Meningococcal Vaccine within the past 5 years, they MUST submit the signed response form*

Mandatory Tuberculosis Screening

Medical/Health History/Tuberculosis questionnaire, which is completed and submitted online at myhealth.binghamton.edu

Complete this form online:

  1. Log in to myhealth.binghamton.eduYou will need your Binghamton University (PODS) computer account username and password.
  2. Select FORM near the top
  3. Select and complete the Medical/Health History/Tuberculosis Questionnaire

Additional information about tuberculosis screening and PPD skin tests is provided below.

International Students Quantiferon TB Tests

Message for Students Requiring Quantiferon Test in KOREAN

Message for Students Requiring Quantiferon Test in SPANISH

Message for Students Requiring Quantiferon Test in MANDARIN

*The Tuberculosis requirement must be submitted prior to registration for the next semester. It is best for you to complete this requirement as soon as possible to avoid any holds for the next semester.

Are you Under 18?

If yes, a completed Consent to Treat form is mandatory.

New students who are under the age of 18 must have their parent/guardian complete this form to authorize Decker Student Health Services Center staff to provide medical or emergency treatment to the underage student.

All Health Forms should be uploaded via the Patient Portal (myhealth.binghamton.edu)