Health History Form and Immunizations

Health History Form

Students should complete the health history form, immunization form and upload documentation of immunizations on the Student Health Portal. See the list of required and recommended immunizations below.

Students can reach out to a primary healthcare provider or a former school to obtain accurate current immunization records.

PLEASE NOTE: Failing to complete these requirements may eventually result in a medical hold that will restrict students from registering for classes.

 

Immunization Requirements

MMR (Measles/Mumps/Rubella)

Or individually

Measles (Rubeola)

Mumps

Rubella (German Measles)

Or documented POSITIVE Serum Immunologic Titer

 2 doses required; 1st dose after 1st birthday
2 doses required; 1st dose after 1st birthday
2 doses required; 1st dose after 1st birthday
1 dose required after 1st birthday

Hepatitis B

Or documented POSITIVE Serum Immunologic Titer

 3 doses required;
• Dose 1 on or after 1st birthday
• Dose 2 at least 1 month after Dose 1
• Dose 3 at least 8 weeks after Dose 2 and 16 weeks after Dose 1

Varicella (Chicken Pox)

Or documented POSITIVE Serum Immunologic Titer
Or documented proof/date of previous infection/disease

 2 doses required;
• Dose 1 after 1st birthday
• Dose 2 at least 28 days after Dose 1

Tetanus-Diphtheria-Pertussis

(Tdap-Adacel or Boostrix)

 1 dose Tdap required within past 10 years

Meningococcal

(Quadrivalent ACYW-135)

 1 dose required after 16th birthday

Recommended Immunizations

COVID-19 (SARSA-CoV-2)

 Single dose BIVALENT immunization/Booster in past 1 year.

Influenza

 Single dose annually after 9/1.

HPV (Human Papillomavirus)

 2 dose series if 1st dose received before 15th birthday.

  • Dose 2 given 6-12 months after 1st.

3 dose series if 1st dose received on/after 15th birthday.

  • Dose 2 given 1-2 months after 1st.
  • Dose 3 given 6 months after 1st.

Meningococcal B

 Bexsero: 2 dose series administered at least 30 days apart.
Trumenba: 2 or 3 dose series dependent on assessed risk.

Hepatitis A

 2 dose series administered 6 months apart.