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Health Immunization Form (PDF) - UC Davis Health System - ucdmc ucdavis

Health Immunization Form (PDF) - UC Davis Health System - ucdmc ucdavis 2025

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The document outlines the health requirements for incoming medical students at UC Davis School of Medicine, detailing necessary immunizations and screenings that must be completed by a healthcare provider before attendance. It includes specific proof of immunity for measles, mumps, rubella, varicella, hepatitis B, T-Dap vaccination, tuberculosis testing, and chest X-ray results if applicable. The form must be verified and signed by a healthcare professional.

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What are the health requirements for UC Davis medical school?

The health clearance requirements include diagnostic tests; positive hepatitis B antibody test; and demonstration of immunity to rubella, rubeola, varicella and mumps. In addition, all students must be monitored for tuberculosis (skin test, x-ray and/or questionnaire) and receive flu vaccines annually.

What vaccines required for school California?

Students Admitted at TK/K-12 Need: Diphtheria, Tetanus, and Pertussis (DTaP, DTP, Tdap, or Td) 5 doses. (4 doses OK if one was given on or after 4th birthday. Polio (OPV or IPV) 4 doses. Hepatitis B 3 doses. Measles, Mumps, and Rubella (MMR) 2 doses. Varicella (Chickenpox) 2 doses.

What vaccines do I need for UC Davis?

Immunization Entrance Requirements for New Students 2 MMR (Measles, Mumps, and Rubella) vaccines administered on or after your 1st birthday, or positive titer (blood test) for each disease. 2 Varicella (Chickenpox) vaccines administered on or after your 1st birthday, or positive titer.

What vaccine do most colleges require?

Students in public institutions of higher education must be immunized against Tdap, MMR, meningococcal disease and hepatitis B. A religious exemption is permitted. Public and private colleges that offer on-campus or group housing must provide information on meningococcal disease to each first-time student.

How do I submit my immunization records to UCLA?

Where do I upload photos of my immunization records? All photos or files can be submitted on The Ashe Center Patient Portal by clicking Medical Clearances, then selecting Immunization Upload, then Update. Please note the Immunization Upload is the third option listed under requirements for clearance.

How do I get my immunization form signed?

Ask your doctor, pharmacist or other vaccine provider for an immunization record form or download and use this form [4 pages]. Bring this record with you to health visits, and ask your vaccine provider to sign and date the form for each vaccine you receive.

What vaccines are required for UC schools?

Immunization Recommendations and Screening Requirements for California Colleges Universities ImmunizationRecommendedDosesExisting Requirements by Executive Order Human Papillomavirus (HPV) Full immunization series. NA Measles, Mumps and Rubella (MMR) 2 doses on or after 1st birthday. UC System requires 2 doses.7 more rows Nov 7, 2024

How do I submit immunization records to GSU?

You must upload your immunization documents to the patient portal. Please visit for more information, including instructions with screenshots. Please note: we do not accept immunization documents submitted via email, fax, mail, in person or via patient portal message.

Health Immunization Form (PDF) - UC Davis Health System - ucdmc ucdavis 2025

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