Please Read Carefully
- Health Care Provider: A physician licensed to practice medicine in all of its branches (M.D. or D.O.), a Licensed Nurse, or a Public Health Official.
- All immunization forms and copies of laboratory reports must be submitted in English. Translations of non-English documents must be certified.
Required Vaccinations
- MEASLES, MUMPS, RUBELLA: A copy of laboratory report(s) in English with evidence of immunity to Measles, Mumps, and Rubella. Students whose laboratory testing does not indicate immunity should receive additional immunization as appropriate and record these dates
- HEPATITIS B: Students should submit a copy of laboratory report(s) in English of a blood test(Hepaptitis B surface Antibody) to demonstrate immunity. Students whose laboratory testing does not indicate immunity should receive additional immunization as appropriate and record these dates
- VARICELLA: Students who have previously had Varicella infection (chicken pox) should have their immunity verified with a blood titer and submit a copy of laboratory report(s) in English. Students who have not previously been infected or whose laboratory testing does not indicate immunity should should complete the two-dose vaccination series. Vaccines should be given at least 30 days apart
- TETANUS, DIPHTHERIA, PERTUSSIS: All students must show proof of vaccination for Tetanus, Diphtheria and Pertussis within the past ten years. Proof of immunity may be submitted by forwarding a copy of childhood immunization records, or a recent dose of Tdap. For students who currently require vaccination. the Tdap (tetanus, diphtheria and acellular pertussis) vaccine is needed to satisfy the pertussis requirement.
- TUBERCULOSIS SCREENING: Screening for tuberculosis exposure is a skin test (PPD/ Mantous or Quantiferon) performed within the last 12 months. Students with a previous history of positive tuberculosis skin test must submit a chest X-ray report obtained within 12 months of entry. They should not have skin testing completed.
- POLIO: All students must show proof of vaccination for Polio. Proof of immunity may be submitted by forwarding a copy of childhood immunization records, or a recent dose of the vaccine.
- MENINGOCOCCAL: Students must show proof of vaccination for Meningococcal within the past 5 years, Either Conjugate(preferred) or Polysaccharide.
RECOMMENDED VACCINATIONS
- HEPAPTITIS A: Students should submit a copy of a laboratory report(s) in English of a blood test (Hepatitis A surface Antibody) to demonstrate immunity. Students whose laboratory testing does not indicate immunity should receive additional immunizations as appropriate and record these dates.
- INFLUENZA: Recommended that vaccine be given annualy
- HPV: Series of 3 (For females only)
- PNEUMONOCOCCAL POLYSACCHARIDE VACCINE
- TYPHOID: Students must show proof of vaccination for Typhoid or booster within the past 2 years.
MEDICAL CONTRAINDICATIONS: A written, signed and dated statement from a physician stating the vaccine that is contraindicated, the nature, and duration of the medical condition that contraindicates the vaccine(s). Submit this statement with application to your university.
RELIGIOUS EXEMPTION: A written, signed, and statement by a student detailing the student's objection to immunization on religious grounds. Request for religious exemptions will be forwarded for review and only be granted by the Registrar. Submit this statement with application to your university.
The attached immunization form must be:
- Completed in English by a Health Care Provider.
- The immunization form must be returned to your university's Health and Wellness Counselor.
- Do not send original immunization booklets/documents - make a copy & complete attached form.
