Immunization Form
Tuberculosis Screening Form
REQUIRED IMMUNIZATIONS
A. MMR (Measles, Mumps, Rubella) (Required).
Two MMR immunizations: both after 12 months of age, the second after 1980. This meets requirements for Measles, Mumps and Rubella (B, C, and D), below. (Any before 1968 are not considered adequate)
B. Measles (Rubeola) (Required). Student complies if ANY of the following:
- Student had Measles (Rubeola) confirmed by medical record
- Student received two immunizations: one after 12 months of age, the second after 1980
- Student was born before January 1957.
C. Rubella (German Measles) (Required). Student complies if ANY of the following:
- Student has report of immune titer proving immunity.
- Student received two immunizations: one after 12 months of age, the second after 1980
- Student was born before January 1957.
D. Mumps (Required). Student complies if ANY of the following:
- Student had Mumps as confirmed by medical record.
- Student received two immunizations: one after 12 months of age, the second after 1980
- Student was born before January 1957.
E. Tuberculosis Skin Test (Required).
Please use the Tuberculosis Screening Form to determine if you will be required to receive a PPD skin test before you can register for classes.
RECOMMENDED
- Tetanus and Diphtheria
- Hepatitis B
- Polio. Student complies if primary series completed (2 oral Polio or 3 intramuscular vaccinations).
- Meningococcal Meningitis
- Influenza:
The quickest and easiest way to get your flu shot is by stopping by Student Health Service during one of our flu vaccine clinics. During these clinics, we have a room and staff dedicated to administering the vaccine. No appointment is necessary and there is usually very little or no wait at all.
Cost is $12.
Walk-in flu vaccine clinics are scheduled for the following dates and times:
- Wednesday, November 9, 2011 9am-3pm
Appointments for flu shots can also be scheduled online via Online Student Health.
