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HEALTH HISTORY & IMMUNIZATION
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Health History Form and Immunization Policy
Policy | Forms | Immunization Info

POLICY

Carlow University Health Services requires all incoming full time traditional students (first year and transfer) to complete and return a Health History/Immunization Documentation form. The immunization portion of the form must be signed by a health care provider. Proof of the following immunizations is required:
 
All full time traditional students:

  • Two doses of measles, mumps and rubella vaccine (MMR)

Additional requirements if living in University Housing:

  • Hepatitis B vaccination series
  • Meningitis vaccination or signed waiver

Additional requirements for International students:

  • Tuberculin skin test(PPD) within 1 year of enrollment ( A chest x-ray is required if skin test is positive)

Resident Students who have not returned these completed forms will not be allowed to move into the residence halls on move-in day, until such forms are completed and/or appropriate waiver forms are signed.

Any full-time traditional student who does not submit a completed health form with verification of the MMR immunization will have a “health services hold” placed upon the following semester’s registration.

If a student has chosen not to receive the above named immunizations for medical reasons, an exemption form must be signed by a physician; if for religious reasons, an exemption form must be signed by a church official.

FORMS

  • Health Services Authorization (PDF)
    Use this form to authorize release of your medical records to Carlow University. Please call 412-578-6174 for more information.

IMMUNIZATION INFORMATION

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Carlow University is accredited by the Middle States Commission on Higher Education, 3624 Market Street, Philadelphia, PA 19104. (267-284-5000)
The Middle States Commission on Higher Education is an institutional accrediting agency recognized by the
US. Secretary of Education and the Council for Higher Education Accreditation.