Immunization Documentation Upload instructions

Similar documents
Dear Student, Welcome to the University of Chicago!

Student Immunization Record Part I Student Information

Step-by-Step Immunization Compliance Guide STUDENT HEALTH SERVICES

IMMUNIZATION & PHYSICAL FORM

Immunization Requirements

UNIVERSITY OF WISCONSIN-MADISON SCHOOL OF PHARMACY. Health Policies

SCHOOL OF MEDICINE IMMUNIZATION COMPLIANCE FORM

IMMUNIZATION & PHYSICAL FORM

School Year IN State Department of Health School Immunization Requirements Updated March to 5 years old

Student Health Services 881 Commonwealth Ave, West / Student Information (To be completed by the student) Student Name Last First Middle

2017 Vaccine Preventable Disease Summary

Vice Chancellor, Health Affairs & Dean, School of Medicine Vice Chancellor & Dean s Office Origination Date: 05/20/2013 Date of Revision: Scope:

School Immunization Requirements IN State Department of Health School Year FAQ s

Information Regarding Immunizations

DEADLINE To return completed form: Within 30 days of registering for classes

Healthcare Requirements for Health Science Students To Be Completed by your Primary Healthcare Provider

IMMUNIZATION & PHYSICAL FORM

Communicable Disease & Immunization

Michael G. DeGroote School of Medicine Visiting Student Electives Program Health Screening Record

Immunization Update: New CDC Recommendations. Blaise L. Congeni M.D. 2012

Young Adults (Ages 18 26)

REMEMBER: IMMUNIZATIONS (VACCINES), OR A LEGAL EXEMPTION, ARE REQUIRED FOR CHILDREN TO ATTEND SCHOOL.

Vaccinations for Adults

Your completed Health Record and any laboratory results must be uploaded to the Student Health Portal at: shac.usciences.edu

Preventive care guidelines for children and adults.

New Jersey Department of Health Vaccine Preventable Disease Program Childhood and Adolescent Recommended Vaccines

Immunization Requirements for School Entry - Ohio

The University of Toledo Medical Center and its Medical Staff, Residents, Fellows, Salaried and Hourly employees

Compliance Requirements for Physician Assistant Students

Healthy People 2020 objectives were released in 2010, with a 10-year horizon to achieve the goals by 2020.

Which Diseases Should My Child Be Protected Against?

Immunization Policy & Forms. 33 Prospect Hill Road Cromwell, Connecticut / Tel. (860) Fax: (860) /

IMMUNIZATION & PHYSICAL FORM CELOP

Utah s Immunization Rule Individual Vaccine Requirements

3/10/2017. Overview N.J.A.C. 8:57-6. Purpose of N.J.A.C. 8:57-6. New Jersey Higher Education Immunization Requirements

2/20/2019. The need for adult vaccinations. Update on Adult Immunizations. The Need for Adult Vaccinations. Objectives:

APEC Guidelines Immunizations

Immunization Guidelines for the Use of State Supplied Vaccine May 17, 2015

Public Health Law Sections (PHL) 2164

Objectives. Immunity. Childhood Immunization Risk of Non-Vaccinated Children 12/22/2015

Preventive health guidelines

School Year ALASKA CHILD CARE & SCHOOL IMMUNIZATION REQUIREMENT CHANGES

2014 CCDPH Annual School Nurse Update Thursday, April 24, IMMUNIZATION UPDATE IMMUNIZATION PROGRAM ILLINOIS DEPARTMENT OF PUBLIC HEALTH

Health Card #: Expiry date: Province: Address (during academic program): Apt. #: City: Province: Country: Postal/Zip Code: Address: Apt.

Immunization Guidelines for the Use of State Supplied Vaccine April 18, 2013

TITLE 64 INTERPRETIVE RULE DEPARTMENT OF HEALTH AND HUMAN RESOURCES BUREAU FOR PUBLIC HEALTH

3 rd dose. 3 rd or 4 th dose, see footnote 5. see footnote 13. for certain high-risk groups

Help protect your child. At-a-glance guide to childhood vaccines.

301 W. Alder, Missoula, MT or

Hospital-based Massage Training Program Admissions Check List

Date of Birth Soc. Sec. or UD ID # Month Day Year. Country of Birth If not USA, indicate when you entered this country M/Y

Public Health Law 2164

I. In accordance with Virginia Code relative to enrollment of certain children in public schools:

CNHP IMMUNIZATION RECORD (7 TOTAL PAGES) MENINGOCOCCAL FORM

CALIFORNIA CODE OF REGULATIONS TITLE 17, DIVISION 1, CHAPTER 4

Frequently Asked Questions Pertussis (Whooping Cough) in the School Setting

Immunization Guidelines For the Use of State Supplied Vaccine July 1, 2011

Preventive health guidelines As of May 2017

Proof of residency in East Orange is mandatory (see Residency Requirements)

Mandates and More. Julie Morita, M.D. Deputy Commissioner Chicago Department of Public Health. Chicago Department of Public Health

Public Health Law 2164

California Department of Public Health & California Department of Education Co-sponsor: California Immunization Coalition

7.0 Nunavut Childhood and Adult Immunization Schedules and Catch-up Aids

DEMOGRAPHIC INFORMATION

Langston University Student Health Services Policies and Forms October 3, 2016

kernfamilyhealthcare.com. Si necesita esta información en español, por favor llámenos.

HOLDINGFORD PUBLIC SCHOOLS ISD #738 P.O. Box 250, Holdingford, MN

PREVENTIVE IMMUNIZATIONS. PREVENTIVE IMMUNIZATIONS These codes do not have a diagnosis code requirement for preventive benefits to apply.

Ministry of Health, Screening and Vaccination Requirements from 1 January 2019

Lesson 3: Immunizations

Dear Parents. To obtain your child s immunisation history you can:

Grow & Stay Healthy Guidelines to Live By

IMMUNIZATION REQUIREMENTS FORM

Student and Learner Placement Service Immunization & Infectious Diseases Screening

ASANTE WIDE Document Number 400-EH-0312

Shots for School. Tdap Requirement for 7 th Graders. (Version - March 2012)

Objectives 1. Become familiar with current immunization schedules for children

Preventive health guidelines As of April 2012

Immunization Update 2019

46825 (260) $UPONT

PREVENTIVE IMMUNIZATIONS. PREVENTIVE IMMUNIZATIONS These codes do not have a diagnosis code requirement for preventive benefits to apply.

Student Health Center Phone: Fax:

Vassar College 124 Raymond Avenue Box 17 Poughkeepsie New York Please contact us at for any questions/concerns.

How to Submit Your Preregistration Requirements

Daycare, school entry and school program immunization report September Data for school years 2012/13 to 2014/15

Splenectomy Vaccine Protocol PIDPIC

SUMMER HEALTH PROFESSIONS EDUCATION PROGRAM FOR ACCEPTED STUDENTS

ANNUAL HEALTH SCREENINGS AND IMMUNIZATIONS GUIDE MEN WOMEN ALL ADULTS CHILDREN

It is my pleasure to welcome you to Harvard University Health Services.

STANWOOD-CAMANO SCHOOL DISTRICT REQUEST FOR PART-TIME ATTENDANCE OR ANCILLARY SERVICES FROM PRIVATE SCHOOL PUPIL

A. Children born in 1942 B. Children born in 1982 C. Children born in 2000 D. Children born in 2010

Procedure/Product Code Description

Vaccines for Children

Student Health Record

N E W Y O R K M E D I C A L C O L L E G E A M E M B E R O F T H E T O U R O C O L L E G E A N D U N I V E R I S T Y S Y S T E M

NOTE: The above recommendations must be read along with the footnotes of this schedule.

Community Immunization Education Guide Tool Kit

Immunization Report Public Health September 2013

Transcription:

Immunization Documentation Upload instructions 1. Log into Health-e-Messaging using your Kerberos ID and password. 2. Enter your student ID number. 3. From the left side of the screen choose either: Immunizations Immunization upload 4. Click add immunization and select appropriate file (acceptable file formats include: PNG, JPG, JPEG, GIF) Required Immunizations Vaccine Measles, Mumps and Rubella (MMR) Varicella (chickenpox) Tetanus, Diphtheria and Pertussis (Tdap) Meningococcal Conjugate (Serogroups A, C, Y, & W-135) Proof of Immunization Required 2 doses; first dose on or after age one - OR - Titer (blood test) showing immunity. 2 doses; first dose on or after age one - OR - Titer (blood test) showing immunity. 1 dose on or after age 7 (note: Td does not satisfy the requirement) 1 dose on or after age 16 for all students that are under 22 years of age (students 22 or older may leave blank). Immunizations FAQ Q. When must I submit my online Immunization Record/TB screening? A: You can access your UCD electronic medical record through Health-E-Message on the SHCS website. You must enter your vaccine immunization information into your immunization record by prior to registering for classes. There will a hold on in place until you are compliant.

Q: How do I get a record of the required immunizations? A: You can download this Immunization Requirement Form and take it to your doctor s office, or you may be able to access your electronic medical record or other immunization records. It is essential that you get all the required information, have any blood tests or any vaccines you require BEFORE you submit your immunization record. You can only enter information on your electronic medical record via Health-e-Messaging (HeM) once. Ø MMR- Measles, Mumps and Rubella (2 doses required) First dose no more than 4 days before your 1st birthday. Second dose at least one month later. Q: I do not have access to my vaccine records, what do I do? If you believe you have had two doses of MMR vaccine, ask your Primary Care provider to order blood tests for measles, mumps and rubella immunity. However, if you do not have evidence of immunity to all three diseases (e.g., measles, mumps, and rubella) and do not have records of having had two doses of MMR, you will still need to get vaccinated with MMR since the vaccine is not available as a single antigen product in the U.S. If you have not had the required 2 doses of MMR vaccine, contact your Primary Care Provider to obtain the missing dose(s) of MMR vaccine. Note the doses must be given at least one month apart. Since MMR is a live vaccine, it is contraindicated in certain conditions including pregnancy. Go to www.cdc.gov/vaccines/schedules/(link is external) (link is external) for more details. MMR is available at the University Health Services. Ø Varicella (Chicken pox) 2 does required First dose no more than 4 days before your 1st birthday. Second dose at least one month later. Q: I have not been vaccinated for chicken pox and I am not sure if I had the disease. What do I do? If you are uncertain of you have had the chicken pox virus, blood testing can be completed to see if immunization is needed. If the blood test does not show immunity, you will need two doses of varicella vaccine given at least one month apart.

Q: I had chicken pox as a child do I still need the vaccine? A: If you have a history of having had chicken pox, you will still need to have a blood test showing immunity. The test, is called a varicella titer. Q: I had two doses of Varicella vaccine, one month apart but my varicella titer does not show immunity to varicella. A: If you have documentation of two varicella vaccine doses, given according to the immunization guidelines, you do not need to do anything further. Ø TDAP Tetanus, Diptheria and Pertusis (1 dose after age 7.) Tdap: Tetanus and diphtheria toxoids with acellular pertussis vaccine is given to adolescents and adults, usually as a single dose; the exception is pregnant women who should receive Tdap during each pregnancy. Q: Does Td or Dtap fulfill the Tdap requirement? A: No, Tdap is still required. Ø Meningoccal Conjugate (1dose) No more than 4 days before age 16 years for all students age 21 years or younger. There are 2 types of meningococcal vaccines for serogroups A,C,W, Y available in the United States: polysaccharide and conjugate vaccines. Neither type of vaccine contains live meningococcal bacteria. Meningococcal Conjugate Vaccines in which the polysaccharide is chemically bonded ( conjugated ) to a protein produce better protection. Brand names include Menactra (MenACWY-D) and Menveo(MenACWY-CRM). Q: Is MenB vaccine required? A: No Men B is not required, but for protection against all 5 serogroups of meningococcus it is necessary to receive both vaccines. Meningococcal polysaccharide or conjugate vaccines provide no protection against serogroup B disease and MenB vaccines provide no protection against serogroup A, C, W or Y disease. Q: I am 22 (or older) is Meningococcal required? A: No. You can leave that field on the form blank. We will clear your based on your birth date. Q: I got vaccinated for Meningitis when I was 11 or 12 do I need to get it again or can I use that date?

A: You need to get it again. To be compliant, your dose must be given no earlier than 4 days before your 16th birthday. Q: I received MPSV (polysaccharide) vaccine does this meet the requirement? A: No. You must get the MCV4 (conjugate) vaccine Other Immunization FAQ Q: How does UC determine which vaccines and screening to require? A: The UC is following the recommendations of the California Department of Public Health (CDPH) Immunization Branch for Colleges and Universities found on the website at http://www.shotsforschool.org/college/. The current requirements reflect those in place on February 24, 2016. However, UC reserves the right to modify these requirements pending revisions to the recommendations by CDPH. Changes in CDPH's recommendations will be incorporated into the requirements affecting the incoming fall class each year. In general, these requirements pertain to those vaccine-preventable illnesses that can be spread by respiratory secretions (saliva, coughing, sneezing), and pose a risk to others who might become ill due to classroom or residential contact. These include, measles, mumps, rubella (German measles), pertussis (whooping cough), varicella (Chickenpox), and meningitis, as well as screening for tuberculosis. Q: Why is the UC implementing this policy? A: There has been an increase in outbreaks of vaccine-preventable illnesses over the past five to ten years, and now many illnesses which we thought were disappearing are returning. Although many of these diseases are considered mild, they can cause serious illness and death. Pertussis was responsible for hospital stays for hundreds of people in California during the past two years, including intensive care admissions and in a few cases, death. Recent outbreaks of measles also resulted in hospitalizations, and new cases of mumps across the country threaten the health and fertility of non-immune students.

Q: I/my family have concerns regarding the safety of vaccines and have chosen not to be vaccinated. Will I be prevented from attending classes at UC if I do not obtain the required vaccines? A: During the initial phases of the Immunization Plan implementation, no registration holds will be placed. However, beginning fall of 2018, students who have not provided evidence of the required vaccinations will not be able to complete their final registration. Q: Is there a process to request a personal/religious belief exemption from the UC Immunization Plan? A: Only a medical exemption will be allowed.