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  • For further information, please contact:

    New York State Department of Health
    Bureau of Immunization
    Room 649, Corning Tower ESP
    Albany, NY 12237
    (518) 473-4437

    New York City Department of Health and Mental Hygiene
    Program Support Unit, Bureau of Immunization,
    42-09 28th Street, 5th floor
    Long Island City, NY 11101
    (347) 396-2433

    NYS Mandated Forms

    New York State mandated forms will be put into effect beginning in January 2021. Only these forms may be used when submitting updated yearly physicals.