Admissions Office
Sample Flow Chart for Collecting Proof of Immunity Required by Public Health Law Section 2165
Student
Health Services
Registrar Office
Send new student
an admissions
package which
includes
immunization
requirement and
form
Receives
immunization
form
Block new/existing
students from
registering
Releases hold on
registration
Other sources
containing
immunization
information






Student
receives
form
Hold
Student signs
letter granting
student 30 day
grace period and
is temporarily
cleared
Advise student to
contact Health
Services
College catalog
Student handbook
Schedule of classes
Orientation package
Registrar orientation pamphlets for
freshmen and transfers
Institution’s web site
Classes
begin and
student
complies in
30 days
Completes
immunization
form
yes
Updates
immunization
status
Within 30
Days
no
Student
withdrawn
without a refund
Letter signed by student
provides authorization and
confirmation of the
institution’s policy
Student registers
no