Medical Requirements

Medical History Form
Tuberculosis (TB) Screening Form
Enter required immunization dates
Upload immunization records
- Records must show that all required vaccines have been completed to fulfill the immunization requirement.
- Immunizations will not be reviewed until records are uploaded for verification.

1. Medical History Form: this form can be found on the portal and is completed electronically.

2. Tuberculosis (TB) Screening/Testing Form: this form can be found on the portal and is completed electronically.

If any answers to the form are "yes" than a student must also provide a record of TB testing or a chest x-ray within 1 year of starting classes.
Review the form with your medical provider who will help complete it and then upload it to the Student Health Portal.

3. Enter required immunization dates: enter the dates you received the required vaccines.

4. Upload Immunizations Records: upload records of all required vaccines. See below for more information on required vaccines.

Required immunizations:

COVID-19:
- 1 or 2 doses depending on vaccine given and booster if eligible.
Hepatitis B:
- 3 doses (or)
- Positive Hepatitis B titer (blood test)
Meningococcal (MCV4):
- Must have had a booster dose on or after age 16.
- Make sure the vaccine is the MCV4 vaccine.
  - While the Meningitis B vaccine provides added protection, it is not the vaccine we require,
MMR (Measles, Mumps, and Rubella):
- 2 doses (or)
  - 1st vaccine must be on or after age 1.
- Positive MMR titer documenting immunity.
Polio:
- Primary series fulfilling all doses (3 or 4 doses, depending on age at last vaccine).
Tdap (Tetanus, Diphtheria, and Pertussis):
- 1 dose within 10 years of starting classes.
- The Td vaccine does not fulfill this requirement, as it does not include pertussis (whooping cough) protection.
Varicella (Chicken Pox):
- 2 doses of vaccine (or)
- History of Chicken Pox (or)
- Positive Varicella titer (blood test)