Immunization Requirements

Please review these requirements and the instructions for completing your Health History and Immunization forms (pdf) carefully. Then use this link to enter your immunizations and health history information. After entering your information and faxing your backup documentation (see instructions), please do not call to confirm receipt of your forms. You will be contacted via your Duke email account if there are any problems with your forms.

IMMUNIZATIONS:

Tetanus-Diptheria- at least three of DTP or DTaP or DT or Td. A booster of Td is required within the past 10 years. If you do not have your DTP or DTaP series, you will need to get the adult series of three Tetanus and Diptheria vaccines. Be sure to give the date of your most recent booster.

Polio- required for health science students and all less than 18 years of age.

MMR (Measles, Mumps, Rubella) - two doses required or proof of immunity (Lab titers). Dose one must be given after 12 months of age. Dose two at least one month later. Both must be after April 22, 1971.
*or* the following individual vaccines:

• Rubeola (Measles)- Two doses required with the first at least 12 months after birth and after March 21, 1963. Exempt if born before January 1, 1957.
• Rubella- One dose at least 12 months after birth and after June 9, 1969. Clinical diagnosis of disease is not sufficient. Exempt if greater than age 50.
• Mumps- One dose at least 12 months after birth and after December 28, 1967. Exempt if born before January 1, 1957.
  

Tuberculosis Screening- required within the past year for all health science students and for students at high risk. (Recommended for all who wish to study abroad.)

Varicella (Chicken Pox)- positive titer required for health science students, immunization recommended for all students.

Hepatitis B- positive titer required for health science students, immunization recommended for all students.

Hepatitis A - not required, but recommended for all students, especially for international travel.

Meningococcal (Meningitis) - not required but should be considered for undergraduate dormitory residents.

Health Science students are those who will be entering the Medical School, Doctor of Physical Therapy Program, Physician Assistant Program, any of the Nursing Programs or the Ophthalmic Technician Program.  This does not pertain to entering freshmen.

CATEGORIES OF HIGH RISK include living in or visiting countries within the past 5 years where TB is endemic. Other categories of high risk include those with HIV infection; those who inject drugs; those who have resided in, volunteered, or worked in high-risk congregate settings such as prisons, nursing homes, hospitals, residential facilities for patients with AIDS, or homeless shelters; and those who have clinical conditions such as diabetes, chronic renal failure, leukemia or lymphomas, low body weight, gastrectomy and jejunoileal by-pass, chronic malabsorption syndromes, prolonged corticosteroid therapy, and other immuno-suppressive disorders.

NOTE: Students from the following countries where TB is not endemic need not be tested: American Region: Canada, Jamaica, St. Kitts and Nevis, Saint Lucia, USA, and Virgin Islands; European Region: Belgium, Denmark, Finland, France, Germany, Greece, Iceland, Ireland, Italy, Liechtenstein, Luxembourg, Malta, Monaco, Netherlands, Norway, San Marino, Sweden, Switzerland, United Kingdom; Western Pacific Region: American Samoa, Australia, New Zealand.

If you have further questions, contact us by email at DSHS_Immunizations@mc.duke.edu