Health Services Forms and Requirements

Immunization Requirements

Please be advised of the mandatory immunization requirements for Measles, Mumps, and Rubella and Meningococcal Disease (Meningitis) Immunizations must be met prior to the first day of classes for each semester!

Forms

• Complete Health and Immunization Forms (PDF)
  (includes Health History and Assessment, MMR Immunization Requirement Form and Meningococcal Meningitis Vaccine Response Form.)
• Annual Health History and Physical Form (PDF)
  (Part C of the Complete Health and Immunization Forms. This form must be re-submitted annually by students in certain programs prior to beginning field work, including nursing students in clinical rotations and education students working in schools.)
• Meningococcal Meningitis Vaccine Response Form (PDF)
  (Part D of the Complete Health and Immunization Forms.)
• Declination of Hepatitis B Vaccine Form (PDF)
• Release of Patient Health Information Form (PDF)
• Influenza Vaccination Form (PDF)
• Athletic Clearance (PDF)