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Immunization Record Form: this form should be completed by your doctor and returned to the Health Center as soon as possible. Failure to submit this form will prohibit you from attending classes in accordance with New York State Law.

International Student Immunization Record

Immunization Release Form: this form allows the College to release your health records to you or your designee.

Medical History Form: this form should be completed by the student to supply the Health Center with information regarding the student’s health history.

Meningococcal Meningitis Fact Sheet: important information about Meningitis.

Online Meningitis Response Form: this form can be submitted by the student to notify the Health Center of the date of the Meningitis immunization or to decline the meningitis immunization by signing a waiver.


Marsha A. Glose RN-C, BSN, MSEd.
Director of Health Services
Medaille College
18 Agassiz Circle
Buffalo, New York 14214
(716) 880-2112
FAX (716) 880-3399

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Undergraduate Programs

First time freshmen, transfer students and students who wish to apply for associate or bachelor’s degree programs.

Graduate Programs

Students who wish to apply for master’s degree programs or advanced certifications.

Online Programs

Students who wish to apply for our online-only degree programs.

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Undergraduate Programs
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Undergraduate Programs

High school students and transfer students who want to enroll in day classes at the Buffalo campus.

Adult and Graduate Programs

Adult learners applying to our undergraduate or graduate degree programs at either our Buffalo or Rochester campuses.

Online Programs

Adult learners applying to our online undergraduate or graduate degree programs.