Weigel Health Center

Forms can be scanned to email but you must first print them out and sign them.

Email:  weigel@buffalostate.edu

Fax:
(716) 878-6727

Mailing Address:
WEIGEL HEALTH CENTER
1300 Elmwood Ave.
Buffalo, NY 14222

Documentation of immunization records. Required for new students.

New Student Health Form [PDF] Instructions for the New Student Health Form: The New Student Health form requires the signature of a health care provider. The New Student Health Form must be printed, signed and either faxed in at 716-878-6727, or scanned in and emailed to newstudenthealthform@buffalostate.edu

Medical Release To Weigel [PDF]
To request that medical records, such as immunizations, be sent from another location to Weigel.

Medical Release From Weigel [PDF]
To request that medical records, such as immunizations, be sent from Weigel to another location.

Meningitis Response Form [Link] Students are not required to receive the meningococcal vaccine, but they are required to complete this form.                                                                                            

Health Promotions forms and workshop requests Click here

COVID-19 Vaccine Remote Instruction Exemption Form (NOT ACTIVE)