ImmunizationsMedical Services - San Jose State University 2026

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The document outlines the immunization requirements for incoming students, detailing necessary vaccinations and serological proof of immunity for Measles, Mumps, Rubella (MMR), Varicella, Tetanus, Diptheria, Pertussis (Tdap), and Hepatitis B. It specifies the number of doses required, the need for serology tests with results, and instructions for additional vaccinations if immunity is not confirmed. The document also includes sections for recording immunization dates and clinician certification.

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Click ‘Get Form’ to open the Immunizations Medical Services form in the editor.
Begin by entering your name and student ID number at the top of the form. Ensure that your email address is also filled out for any follow-up communications.
For each immunization requirement, provide the necessary details. Start with MMR: indicate the dates of your vaccinations and attach any required serologic proof of immunity.
Continue with Varicella, Tdap, and Hepatitis B sections. Fill in the dates for each dose received and include any titer results as specified.
Finally, ensure that a clinician's signature is included at the bottom of the form, certifying that all information provided is accurate.

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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Can I request my immunization records from my college?

Check with your high school and/or college health services for dates of any immunizations. Keep in mind that generally records are kept only for 1-2 years after students leave the system. Check with previous employers (including the military) that may have required immunizations.

Is Sjsu Wellness Center free?

There is no charge for basic services at the Student Wellness Center for subscribers, including many routine medical and counseling appointments.

How much is the special session fee per unit at SJSU?

Special Session fees for the MLIS, MARA, Certificate and Open Classes programs are $568 per unit. Fees are subject to review and change.

Is San Jose State free?

San Jose State Universitys tuition is $8,410 for in-state and $21,010 for out-of-state students.

Is the gym at SJSU free for students?

Health, Wellbeing, Safety. If youre struggling w/ food or need housing assistance, contact SJSU Cares! Besides being a free gym, the SRAC also offers group classes (i.e. cycling, dance, pilates, swimming, etc.), personal training, hiking trips, surfing trips, etc. to keep your body healthy moving!

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What immunizations are required for SJSu?

Influenza (flu) vaccine. Measles, mumps, and rubella (MMR) vaccine (required for some students) Meningococcal conjugate (MenACWY) vaccine (required for some students) Meningococcal B vaccine.

What counts as proof of immunization?

Photocopies of immunization records from a licensed healthcare provider or clinic, or from a California K-12 school uploaded to My Health Portal. All records must show the vaccine type, dose, and date of each shot.