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
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.
New Student Health Form [PDF]
Documentation of immunization records. Required for new students.
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
Need instructions on how to scan using your mobile device?
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)
