Immunization Form & Information
105 CMR 220.600: M.G.L. c.76, sec. 15C Chapter 76 Section
15B of the General Laws of Massachusetts was enacted in June 1985 requiring
the immunizations of certain college students against measles, mumps, rubella, hepatitis B, diphtheria, and tetanus.
To be registered at an institution of higher learning, every 1) full-time undergraduate student and 2) every full-time or part-time undergraduate student in a health science program who is in contact with patients, and 3) every student on a student visa, including all International students attending or visiting classes as part of a formal academic visitation exchange program, must present a physicians certificate that such student has received the necessary immunizations. A school immunization record may be presented in lieu of the certificate.
- Two (2) doses of live Measles, Mumps, and Rubella (MMR) vaccine given at least one month apart beginning at or after 12 months of age or a titre to prove immunity (exempt for students born in U.S. before 1957 except for Health Science students).
- One (1) dose Tetanus/Diptheria/Pertussis (Tdap) required of all incoming Freshman and Health Science Students, otherwise a booster dose of Td within the last ten years.
- Three (3) doses of Hepatitis B or a titre to prove immunity. Health Science students must have two (2) doses of Hepatitis B before clinical.
- Two doses of Varicella vaccine given at least 4 weeks apart, or a titre to prove immunity or a reliable history verified by a physician (Exempt if born in the U.S. before 1980 except for Health Science students).
- Meningococcal vaccine is required for all students at a postsecondary school that provide or license housing. (Fitchburg Institute students)
These requirements shall not apply where:
- The student provides written documentation that he or she meets the standards for medical or religious exemption set forth in M.G.L. c. 76, §§15C.
- The student provides appropriate documentation, including a copy of a school immunization record, indicating receipt of the required immunizations.
- In the case of measles, mumps, or rubella, the student presents laboratory evidence of immunity.
It is required that all students in the country on a student visa including all International students attending or visiting classes as part of a formal academic visitation exchange program must present results of an Intradermal Tuberculin Test (TB) dated within three months prior to the beginning of class.
Exemptions will be granted to those students who present a certificate from a physician who believes that the health of the student would be endangered by such an immunization and to students who state in writing that such an immunization would conflict with their religious belief. If there is any doubt of immunization, the person is to be considered non-immunized. Information concerning immunization may be obtained from the health and wellness center.