Health And Immunization

105 CMR 220.600: M.G.L. c.76, sec. 15C Chapter 76 Section
15B of the General Laws of Massachusetts.

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 (see below) 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.

1. Two (2) doses of Measles, Mumps, and Rubella (MMR) vaccine or a MMR Titer to show proof of immunity (exempt for students born in U.S. before 1957 except for Health Science students).
2. One (1) dose of Tdap once, then Td or Tdap booster every 10 years.
3. Three (3) doses of Hepatitis B vaccine, or, two (2) doses of Heplisav-B vaccine given on or after 18 years of age, or, proof of immunity (please attach lab report from a Hepatitis B Surface Antibody Titer). Health Science students must submit a positive Hepatitis B Surface Antibody Titer in addition to vaccine record.
4. Two (2) doses of Varicella vaccine or a Varicella Titer to show proof of immunity. All non-Health Science students may provide a reliable history verified by a physician (Exempt if born in U.S. before 1980).
5. Meningococcal (MenACWY) vaccine (required for all full-time student’s ages 16-21) given on or after student’s 16th birthday. Students may decline MenACWY vaccine after they have read and signed the MDPH Meningococcal Information and Waiver Form provided by their institution. Meningococcal B vaccine is not required and does not meet this requirement.
6. Annual Influenza vaccine required for all Health Science students.
7. Annual Tuberculosis Testing required for all Full and Part-Time Health Science Students and students on a Student Visa or Other Visa.

The 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.

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.

Download and complete these forms:

• Requirements-for-IM-and-Health-History-12.20.2024
• Physical-and-Immunization-Form-24-25
• Meningococcal Disease Mass Public Health Fact Sheet
• Meningococcal Waiver Form
• Requirements-for-IM-and-Health-History- Spanish
• Physical-and-Immunization-Form- Spanish

Download and complete these forms:

• Physical-and-Immunization-Form-24-25
• Requirements-for-IM-and-Health-History-12.20.2024
• Health-Care-Services-Required-Release-Form
• TB Questionnaire
• Meningococcal Disease Mass Public Health Fact Sheet
• Meningococcal Waiver Form
• Requirements-for-IM-and-Health-History- Spanish
• Physical-and-Immunization-Form- Spanish

• Vet Tech Required Release Form

Download and complete these forms:

• Physical-and-Immunization-Form-24-25
• Requirements-for-IM-and-Health-History-12.20.2024
• TB Questionnaire
• Meningococcal Disease Mass Public Health Fact Sheet
• Meningococcal Waiver Form
• Requirements-for-IM-and-Health-History- Spanish
• Physical-and-Immunization-Form- SpanishPhysical-and-Immunization-Form- Spanish

• Access your documents and records here

Room H128 (Gardner campus)
P: 978-630-9855
F: 978-630-9540

Hours
M–F: 8AM–4PM

If you take 9 credits or more, the state of Massachusetts gives you the option to buy health insurance. If you already have health insurance, you do not have to accept.

However, you will have to take steps to waive this charge on your bill.

WAIVE YOUR INSURANCE

Note that Health Insurance will remain visible on your bill, even if you have waived it. It will appear in the right column if you have a credit (if you have waived it), and in the left column if you have a charge (you choose to pay for it).