Immunization Requirements

Immunization records & health forms

Complete your forms and submit to Health Services by:

  • Fax: 716.338.1461 or 716.376.7021
  • In person at your campus health center

Please do not submit by email.

You will be in administrative withdrawal from JCC and charged a $25 fine if you don’t turn in your forms and records.

    COVID-19 vaccination & exemption forms

    All students accessing SUNY facilities for any in-person classes or activities must be fully vaccinated against COVID-19, with limited exception. A booster is strongly encouraged but not required.

    If a student is taking online coursework only and has no plans to participate in any on-campus activities or interactions, the COVID-19 vaccination is not required.

    If a student is not fully vaccinated, visit to learn about specific guidelines.

    Medical Exemption: Students who are medically advised not to receive the COVID-19 vaccine by their physician, nurse practitioner, or physician’s assistant must provide this information in writing. This document must be signed by the licensed healthcare provider and submitted to their JCC campus Health Center. Students who submit a medical exemption will be subject to additional requirements.

    Religious Exemption: Students who hold genuine and sincere religious beliefs which are contrary to receiving the COVID-19 vaccination may be exempt after submitting a written statement as required by a SUNY facility. The statement should explain how receiving the COVID-19 vaccination conflicts with the student’s sincere religious belief or practice and how not receiving the COVID-19 vaccination will not otherwise prevent the student’s completion of the requirements of their academic program.

    General, philosophical, or moral objections to such vaccines shall not suffice as the basis for a religious exemption. Students granted a religious exemption will be subjected to certain restrictions and may be subject to other restrictions imposed by the campus.

    MMR/meningitis form

    If you are taking six or more credit hours at Jamestown Community College, you must submit to Health Services:

    Residence Life health history form

    If you live in the residence halls on campus, you must also submit:

    Nursing & OTA forms

    Nursing and OTA programs require additional immunizations:

    • Varicella (Chicken pox or positive Titer)
    • Hepatitis B: Clinical sites request that you educate yourself about Hepatitis B. You are at an increased risk in the clinical setting at being exposed to Hepatitis B and other diseases. Get updated vaccination for Hepatitis B or sign the declination on your JCC health report form that you'll receive through your program.
    • Tetanus
    • TDAP