Immunization Requirements For Students Enrolled After 6/1/20


The Clinic is now scheduling PPD skin tests. Please call for an appointment 817.735.5051 Schedules will be limited as we continue to practice social distancing to keep our students and staff safe. Please complete this form and bring it to your scheduled appointment hsc skin test form


Orientation Presentation Power Point 


Requirement Checklist



Click Here Requirements F/Students Enrolled Prior to 6/1/20


 Downloadable Immunization Checklist effective 6/1/20

Hepatitis B Quantitative lab report showing immunity*
Measles, Mumps, Rubella
(MMR)
Quantitative lab report showing immunity*
Varicella Quantitative lab report showing immunity* or 2 doses of vaccine
Tetanus, Diptheria, Acellular Pertussis
(Tdap)
1 dose of Tdap within the past 6 years
Tuberculosis Screening

2 Step PPD skin test (2 PPDs taken 1-3 weeks apart)

        •   2 step required for all 1st year students (unless there is a history of positive skin test) Positive skin test

  • QuantiFERON TB Gold/T-spot blood test*
    • Only required for students with positive PPD results
  • Documentation of latent TB infection or treatment for active infection
    • Only required for students with positive QuantiFERON blood test
  • Additional 1-step PPD, dated within 3 months of clinical rotations start date
    • 3rd year students
    • *DPT students are required to have annual TB Screening (per program requirement)
Influenza (Flu) Annual flu vaccine during fall/winter season
Meningitis
(students under 22 only)
1 vaccination within the past 5 years
Physical Exam and Medical History
(GSBS and SPH exempt)

Medical History and Physical Exam. Dated within 1 year of matriculation into program. Must have clinic or provider stamp.

May utilize UNTHSC Health and Physical form physical form

Need more information: Detailed Immunization Requirement Document


Contact Us

studenthealth@unthsc.edu – if you know your student ID number, please include it in the email so we can accurately locate your records


Vaccination Information

We will be evaluating compliance after the census date each semester. If you have not met requirements before registration for the next semester, you will have a hold placed on your account. The hold will block initial registration for the subsequent semester.

All immunization requirements with documentation must be entered into Medicat. Click her for detailed How-To Instructions: Medicat How-To

Hepatitis B Series

You must provide documentation of a positive quantitative titer lab report (please make sure they are quantitative).

How long does it take to complete the Hepatitis B series?
Full immunization for Hepatitis B requires a series of 3 doses administered over a period of approximately 6 months (schedule of 0,1,6 months). The second shot is due 1 month after the first, and the third shot is due 5 months after the second.

What should I do if I am not immune based on my titer result?
If you do not show immunity to Hepatitis B with a negative titer, you must:
1.     Begin repeating the entire Hepatitis B series.
2.     Upload the negative titer lab report to Medicat.
3.     Upload proof of the 1st vaccine into Medicat.
4.     Fill out the Repeating Hepatitis B Series form and upload it to Medicat.

5.    Continue to complete the series on schedule, then repeat titer 4-8 weeks after the third dose.

What if my 2nd titer shows that I am still not immune?
Students who have had 2 complete Hepatitis B series and 2 titers showing non-immune must complete an additional lab test to rule out Hepatitis B infection (must be ordered by a licensed medical professional). Then follow up with provider for counseling and completion of Hepatitis B Non-Responder Waiver. Waiver must then be uploaded into Medicat for compliance.

Measles, Mumps, Rubella (MMR)

You must provide documentation of a positive quantitative titer lab report (please make sure they are quantitative igG).

What if my MMR titer comes back as negative?

If you are not immune (negative titer result) you must repeat the series. That is 2 vaccines at least 4 weeks apart. Repeat titer should be drawn 4-8 weeks after the last dose.

Varicella

You must provide proof of two vaccines or a positive quantitative titer lab result

If I have had chicken pox in the past, will that meet the varicella requirement?
A history of chicken pox is not proof of immunity. A positive titer can be used as proof of immunity. If you have had chicken pox in the past, you can get an IgG quantitative titer drawn to prove immunity.

What if my Varicella titer comes back as negative?
If you are not immune (negative titer result) you must repeat the series. That is 2 vaccines at least 4 weeks apart. Repeat titer should be drawn 4-8 weeks after the last dose.

Tetanus, Diptheria, Acellular Pertussis (Tdap)

Documentation of one vaccine within the past 6 years will meet this requirement.

Tuberculin Skin Test

How is the Tuberculin Skin Test administered?
The tuberculin skin test (TST) is performed by injecting 0.1 ml of tuberculin purified protein derivative (PPD) into the inner surface of the forearm. The skin test reaction should be read between 48 and 72 hours after administration. If it is not read within 72 hours you will need to be rescheduled for another skin test. Students failing to have their PPD’s read will be charged a fee of $5.00 for additional test.

What if I have had a positive PPD skin test in the past?
Depending on your history you will either need a QuantiFERON TB Gold blood test or a symptom screening.Positive PPD Skin Test Still unsure, contact the clinic to determine which screening you will need.

What is a 2 Step PPD and why do we need to receive a 2 Step?
A 2 step PPD is 2 skin tests taken 1-3 weeks apart. Two-step testing is useful for the initial skin testing of adults who are going to be retested periodically, such as health care workers. This two-step approach can reduce the likelihood that a boosted reaction to a subsequent TST will be misinterpreted as a recent infection. 2-Step PPD Form

Influenza

Proof of one flu vaccine annually (during flu season) is required for all students.

History & Physical Examination

All students except GSBS & SPH students are required to provide documentation of a physical exam and medical history within one year of matriculation into the program.

Is there a form that I am required to use?
We recommend using the UNTHSC Health and Physical Form. Any form from your primary care provider that includes similar information will meet the requirement.

Does the form have to be signed by a physician?
The form must be signed by a licensed medical professional and have the official clinic or provider stamp. PE form can be signed by a physician assistant, nurse practitioner, doctor, or other licensed medical professional.

Meningitis

Am I required to submit the meningitis vaccination?
Only students who are the age of 21 and younger are required to submit the meningitis vaccination. If you are 22 by the first day of the semester you will be exempt from providing documentation.

For more information on the meningitis vaccination, please see our website specific to this vaccination

Deadline to Submit all Immunization Requirements

We will be evaluating compliance after the census date each semester. If you have not met requirements before registration for the next semester, you will have a hold placed on your account. The hold will block initial registration for the subsequent semester.

*Lab orders for antibody titers or QuantiFERON TB Test can be ordered through the Student Health Clinic. The clinic does not charge students a fee to order these tests. If you are in need of these labs contact the Student Health Clinic directly at 817-735-5051 or email studenthealth@unthsc.edu

This page was last modified on July 31, 2020