Health History Form
Students should complete the , and upload 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.
Students do not need a yearly, or even one-time, physical to attend 91Ö±²¥. Some majors will require specific proofs of vaccinations or medical certifications and some athletic activities will require a physical and medical testing, but students with these needs will be informed by their program administrators.
PLEASE NOTE: Failing to complete these requirements may eventually result in a medical hold that will restrict students from registering for classes.
| 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 |
| 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. |