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HEALTH REPORT FORM
New York State Public Health Law 2167 requires colleges to distribute information about meningococcal disease and vaccinations to ALL students taking 6 credit hours or more (on campus). A signed reply is then required from the student. This report includes the reply section for your signature.
New York State Public Health Law 2165 requires proof of immunity to measles, mumps and rubella. This law is mandatory for ALL college students born in 1957 or later and registered for six (6) credit hours or more (on campus).
Nursing students are required to have an annual physical examination and must complete Part IV — Nursing Students Only section in following health report.
Please read, respond, and return this Health Report Form to:
Cayuga Community College
197 Franklin Street
Auburn, NY 13021
ESSENTIAL FUNCTIONS/TECHNICAL STANDARDS FOR NURSING STUDENTS
Essential Functions/Technical Standards include non-academic criteria essential to successfully complete the required nursing coursework. It is essential that students possess and maintain the following functional requirements with or without reasonable accommodations.
In accordance with law and Cayuga Community College policy, no qualified individual with a disability shall, on the basis of that disability, be excluded from participation in the program. Cayuga Community College will provide reasonable accommodations to a qualified individual with a disability. It is the responsibility of the applicant or student to request the accommodations that are needed to perform the behaviors listed below. Contact the Office of Accessibility Resources and the Director of Nursing if you think you may need an accommodation for a disability.