Health History & Immunization Forms


In accordance with New York State Public Health Law 2165, The Sage Colleges SHALL NOT PERMIT ANY STUDENT TO ATTEND IN EXCESS OF 30 DAYS without satisfying the following:

  • All students taking 6 or more credit hours are required to complete the Student Immunization Form
  • The Meningitis Vaccine is required for all Sage students living in campus housing. Contact your health care provider before moving into campus housing.
  • Students not living on campus, taking 6 or more credit hours are required to read and sign the Meningococcal Meningitis Response Form.
  • Students registered for online courses only and who do not meet on campus are not required to meet the immunization requirements.

In addition to your immunizations, please complete a health history form as well. Both forms are located below.

 

 

 

Permission for Release of Medical Records:

If a student is requesting their immunization records be forwarded to another healthcare provider, educational institution, facility or department you will need to fill out a medical information release form (found in box on upper right). The form can be dropped off at either Wellness Center or faxed to 518- 244- 2262 in Troy or 518- 292- 1918 in Albany. Please be sure that all information on the form is complete (paying particular attention to the office you wish the information to be sent to). All requests for records will be fulfilled within 24 hours.

But I have questions:

Why is this so important?

What if I can't find my old immunization records?

Where do I send my forms? Mail forms to:

Russell Sage College & Sage Graduate School Students:

65 1St Street
Troy, NY 12180

Phone: 518 244-2261 Fax: 518 292-2262

Sage College of Albany & School of Professional and Continuing Education Students:

140 New Scotland Ave

Albany, NY 12208
Phone: 518 292-1917 Fax: 518 292-1918 

OR If on campus, drop off at Wellness Center. After 5pm and on weekends, drop in inter-campus mail at College Services (basement of administration building in Albany & basement of John Paine building in Troy)

What if I need immunizations?

    In Troy

    Rensselaer County Health Department
        1600 7th Ave., (518) 270-2939

  •   Walk-in Clinic: Tuesdays 2-4 PM, Thursdays 9-11AM.
  •   Meningitis is $131 & MMR is $17.85 (cash only), for students/residents of Rensselaer County

     Whitney Young Troy Health Center
     6-102nd Street • Troy, NY 12180 • 518-833-6900
     Monday, Tuesday & Thursday from 7:45 am to 6:00 pm
     Wednesday from 7:45 am to 5:30 pm
      Friday from 7:45 am to 5:00 pm

      Current wait list for vaccines so schedule far in advance. Sliding scale. Insurance       accepted.    

    In Albany

    Albany County Health Department
         175 Green Street,  (518) 447-4589

  • Call for an appointment.
  • If under 18 years old, parental signature required.
  • Free if under 19 years old, or unable to pay.
  • Meningitis is $126 and MMR is $17.85 (cash or check).
  • Must confirm fee when scheduling appointment.

     Whitney Young Albany Health Center
      920 Lark Drive • Albany, NY 12207  • 518-465-4771
       Monday, Tuesday, Thursday from 7:45 am to 6:00 pm
      Wednesday from 7:45 am to 7:30 pm; Friday from 7:45 am to 5:00 pm

       Current wait list for vaccines so schedule far in advance. Sliding scale. Insurance      accepted. 

 

My parents have questions, too:
Centers for Disease Control and Prevention: "Parents: What You Need to Know"