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How do I request my immunization records?

HIPAA privacy regulations require you to complete an Authorization to Disclose Health Information – Immunization Transcript Request Form before NYIT can release your records.

Once completed, this form can be faxed to 516.686.1410.

Records are kept for 11 years after they are received.

If you have any questions or would like to check the status of your immunization request, e-mail Paulette Giambalvo, Assistant Director of Wellness Services at: or call 516.686.7697.