I understand that by signing this form I am not holding the College of St. Joseph the Worker responsible for any illness or injury resulting from my decision to withhold the administration of the immunizations mentioned below.
The Ohio Revised Code (ORC) Section 1713.55 states that beginning with the academic year that commences on or after July 1, 2005, an institution of higher education shall not permit a student to reside in on-campus housing unless the student (or the student’s parent if the student is younger than 18 years of age) discloses whether the student has been vaccinated against Meningococcal disease and hepatitis B by submitting a meningitis and hepatitis B vaccination status statement.
Please note that Ohio law does not require vaccination of the student, nor does it require the institution to provide or pay for vaccines. The law requires only disclosure of vaccination status of the student.
I have read and understand the information provided about these vaccines. I understand the risks/benefits of being vaccinated against these diseases.