Health Records

Welcome, and thank you for choosing North Country Community College! We look forward to helping you achieve your educational goals. Your health, safety and well-being are important to your academic success and a top priority for the college.

All college students enrolled in six or more on-campus credits are required to meet the state’s immunization requirements for post-secondary students. Even if you are attending classes online, we still encourage you to complete your health records requirements now so you are in compliance for future semesters.

Special Notice Regarding COVID-19 Vaccinations: The U.S. Food and Drug Administration approved the Pfizer-BioNTech COVID-19 Vaccine on August 23, 2021. See our Fall 2021 reopening page for full details on compliance expectations for the vaccine mandate from SUNY and New York State.

Where/how to send your immunization documents to NCCC:

Mail to:  NCCC Health Records Office, PO Box 89, Saranac Lake, NY  12983
E-mail:  healthrecords@nccc.edu
Fax:      518-891-4236

Questions? Call Kathy Goodrow at 518-891-2915, ext. 1204

 

Frequently Asked Questions

  • The high school(s) you attended
  • Previous college or university you attended
  • Family doctor/health care provider
  • Military/Veteran’s office 

To Comply with NY State Public Health Law 2165:

  • Contact your health care provider to discuss the possibility of being re-immunized or
  • Contact your local Public Health Office to discuss the possibility of being re-immunized or
  • Contact your health care provider to have blood titers drawn to test your immunity to measles, mumps, and rubella


To Comply with NY State Public Health Law 2167:

  • Submit documentation that you have received ONE dose of the meningococcal vaccination within five years prior to
    your attendance at NCCC
  • Submit a signed “Meningococcal Disease Response Form” contained in this packet indicating you have chosen not to
    receive this vaccination

If you were born BEFORE January 1, 1957, you are exempt from the MMR requirement. However, you are required to provide documentation that you have received a meningococcal/meningitis vaccination within the last five years of your attendance at NCCC or complete/sign the declination portion of the “Meningococcal Disease Response Form” indicating you have chosen not to receive this vaccination. 

Ask us about our medical exemption process. Your health care provider must certify in writing the specific reason(s) why you should not receive a particular vaccination.

If you are temporarily unable to receive the vaccinations, the health care provider must provide an approximate date on which you will be able to receive the first one. This is a medical accommodation, not a medical exemption.

Contact the NCCC Student Life/Health Records Office to receive the required paperwork for requesting a religious exemption. Email us at healthrecords@nccc.edu

If you fail to provide sufficient immunization records by the deadline date, you will be prohibited from attending classes at NCCC until all required documents have been submitted. Additionally, a hold will be placed on your NCCC student account, which means you will not be able to receive any financial aid refund monies you are due, you will be unable to register for another semester at NCCC, and your grades and any transcript requests will be put on hold until this information has been submitted.

Please be sure to retain a copy of your immunization documents for your personal records prior to submitting them to NCCC.  Once your documents are submitted to NCCC, we will be unable to furnish you with a return copy.  These records are retained by NCCC solely for the purpose of complying with the Department of Health’s immunization laws for post-secondary students.

Immunization Requirements for Post-secondary Students

This law requires all post-secondary students born on or after January 1, 1957, and enrolled in six or more credit hours, to provide proof of immunity to measles, mumps, and rubella.  Appropriate documentation must include ONE of the following:

  • Documentation of TWO (2) MMR vaccinations.  To be considered valid, the first vaccination cannot be administered any more than four days prior to the student’s first birthday, and the second dose must be given at least 28 days after the first dose. 
  • Documentation of TWO (2) doses of the measles vaccination, ONE (1) dose of the mumps vaccination, and ONE (1) dose of the rubella vaccination.  To be considered valid, neither vaccination can be administered any more than four days prior to the student’s first birthday, and the SECOND dose of the measles vaccination must be given at least 28 days after the first dose.
  • POSITIVE blood titer results for measles, mumps, and rubella.  Copies of a lab report(s) validating these results must be submitted.

This law requires all post-secondary students enrolled in six or more credit hours to submit a “Meningococcal Disease Response Form”.  This law also requires all post-secondary institutions to distribute information about meningococcal disease and immunization to all students (or parents/ guardians of students under the age of 18). 

This is not a mandatory vaccination, however, all students (regardless of age) enrolled in 6 or more credits are required to provide one of the following in response to the meningococcal/meningitis vaccination:

  • Documentation of a meningococcal/meningitis vaccination within five years prior to your entry into NCCC.
  • After acknowledging the risks of meningococcal/meningitis disease, you may decline the vaccination by completing/signing the below Meningococcal Disease Response Form.

All required documentation must be submitted to the Health Records Office at NCCC by the established deadline date upon the student’s first attendance date at the college.  Students not in compliance with NY State Public Health Laws 2165 and 2167 by this deadline date will be prohibited from attending classes at NCCC until all required documents have been submitted.  Additionally, a hold will be placed on their NCCC student account, which means they will not be able to receive any financial aid refund monies they are due, they will be unable to register for another semester at NCCC, and their grades and any transcript requests will be put on hold until this information has been submitted.

 

NORTH COUNTRY COMMUNITY COLLEGE
Meningococcal Disease Declination Form

NY State Public Health Law 2167 recommends that all post-secondary students enrolled in six or more credits of ON-CAMPUS classes to submit proof that they have received a Meningococcal vaccination within five years of their attendance at a post-secondary institution.  This law also requires all post-secondary institutions to distribute information about Meningococcal disease and immunization to all students (or parents/ guardians of students under the age of 18).

OR

Since this is NOT a required immunization, this requirement can be met by signing and dating the declination statement on the bottom of this form. Signing this webform fulfills your requirement to submit a Meningococcal Disease Declination Form to North Country Community College.

Please provide the student's full name as it appears on medical records.
Please provide the student's current street address including apartment number, if applicable.

[Note:  The Advisory Committee on Immunization Practices recommends that all first-year college students up to age 21years should have at least one dose of the Meningococcal vaccine not more than five years before enrollment, preferably on or after their 16thbirthday, and that young adults aged 16-23 years may choose to receive the meningococcal B vaccine series.  College students should discuss the Meningococcal B vaccine with a healthcare provider.]

Signature
Please click below to verify declination of recommended Meningococcal vaccination.
Enter your full name - Parent/guardian signature if student is under 18 years of age.
Please write today's date.