Medicine, Pharmacy, & Nursing Expanded Immunization Requirements

Medicine, Pharmacy, and Nursing students enrolled at the University of Arizona must meet expanded immunization requirements. Failure to comply with the immunization requirements in a timely manner will prevent your course registration, your financial aid disbursement, and your ability to obtain a parking permit. Immunizations must meet the guidelines established by the Center for Disease Control to be considered valid. It is recommended that students use the AAMC Standardized Immunization Form as guide to meeting these requirements. Compliance with expanded immunizations is strictly the student's responsibility.

Due to recent changes in medical health plan policies, labs and immunization services required for program entrance are considered third party requests and therefore cannot be billed to insurance. Students must pay for third party requests at the time of their visit. CHS offers a Student Discounted Rate for all immunizations and labs.

For information on submitting COVID-19 vaccination records please visit the immunization FAQ page.

College of Medicine and Pharmacy Expanded Immunization Requirements:

Proof of two doses of the MMR vaccine or two doses of individual Measles, Mumps, and Rubella vaccination OR a positive IgG serology proving immunity are required.

  • The first vaccination must have an administration date that is on or after your first birthday.
  • The second vaccination must be at least 28 days after the first vaccination.
  • At least one set of the vaccinations must have been administered after 1979.
  • Serologies with a result of 'Equivocal' or 'Negative' indicate 1-2 booster vaccinations will be needed in order to satisfy this requirement.
  • For serologies, a copy of the official lab report must be submitted. The lab report must contain the numeric result and reference ranges for the diseases tested.

There are two types of Hepatitis B vaccine; a three dose series administered over a 6 month period and a two dose series over a 30 day period. We will accept either series.

The three dose series requires 3 Hepatitis B vaccines appropriately spaced:

  • Hep B vaccination #2 must be at least 30 days after Hep B vaccination #1.
  • Hep B vaccination #3 must be at least 5 months after Hep B vaccination #2.
  • If you have more than three Hep B vaccinations on your record please submit those vaccination dates as well.
  • At least 4 weeks after Hep B vaccination #3 you will need to obtain a Hepatitis B Surface Antibody Quantitative Titer to confirm immunity.

OR

The two dose series of Heplisav B vaccine for those 18 years and older must be appropriately spaced as follows:

  • Heplisav B vaccination #1
  • Heplisav B vaccination #2 at least 30 days after vaccination #1
  • At least 4 weeks after Heplisav B vaccination #2 you will need to obtain a Hepatitis B Surface Antibody Quantitative Titer to confirm immunity.

Completion of either shot series does not guarantee immunity. Obtain your titer ASAP because repeating the Hep B process can take 1-6 months to complete. This means your course registration & financial aid can be delayed if you do not start this process early.

A positive Hepatitis B Surface Antibody Quantitative Titer is required in addition to the three shot Hep B vaccinations.

  • The Hepatitis B Surface Antibody Quantitative Titer must be drawn at least 4 weeks after Hep B vaccine #3 or the Heplisav vaccine #2.
  • Hepatitis B Surface Antigen, Hep B Core Antibody, and Hep B Viral Load titers cannot be used to satisfy this requirement.
  • Qualitative titer results cannot be used to satisfy this requirement.
  • Titers that indicate a result of 'Equivocal' or 'Negative' cannot be used to satisfy this requirement.
  • The titer lab report must contain a collection date, numeric result and reference range for the results. Flow sheets and Patient Portal summaries are not acceptable.

One documented dose of adult Tdap is required.

  • A If the Tdap is more than 10 years old, a booster vaccination is required.
  • Tetanus-diptheria (Td) can be used to satisfy this requirement as long as there is one documented dose of an adult Tdap on your record.

Newly admitted students have two options to satisfy the TB Screening requirement. The Quantiferon TB Gold is the preferred option.

  • Students with a history of positive TST, or who have received a BCG vaccine, should select option 1.

Option 1: Quantiferon TB Gold Plus (or a T-Spot)

  • Blood test results of 'Negative' will satisfy this requirement.
  • If your Quantiferon test result is 'Equivocal' or 'Positive,' contact the CHS Medical Records Department for further instructions.
  • The Quantiferon TB Gold test is valid for 365 days from the date it is collected.
  • The lab report for the Quantiferon (or T-spot) must be submitted. The lab report must contain a collection date, numeric result and reference range for the results. Flow sheets and Patient Portal summaries are not acceptable.
  • Do not get a Quantiferon (or T-spot) drawn within 90 days of having a TB skin test placed unless instructed by your provider as this can cause a False Positive result. 

Option 2: Two Step TST

  • The two step TST process consists of obtaining two separate PPD skin tests (requiring a total of 4 visits)
  • The second skin test must be administered at least 7 days after the first skin test has been read, but no more than 21 days after the first read.
  • TST documentation must include the administration date, read date, and result of each TST.
  • A TST is valid for 365 days from the date the second TST was administered.
  • If you receive a positive TST result, please contact the Medical Records Department for further instructions.

Your TB clearance is an annual requirement. After your first term, one TST or Quantiferon will satisfy this requirement.

Annual TB Testing UAHS Flowchart

Proof of two Varicella (Chicken pox) vaccinations  OR a positive Varicella IgG serology proving immunity are required.

  • The first vaccination must have an administration date that is on or after your first birthday.
  • The second vaccination must be at least 28 days apart from the first Varicella vaccination.
  • Serologies that indicate a result of 'Positive' will satisfy this requirement. 'Equivocal' or 'Negative' serology results indicate 1-2 booster vaccinations will be needed to satisfy this requirement.
  • If you are satisfying this requirement by serology then you must also submit a copy of the official lab report. To qualify as a lab report the document must contain the numeric result and reference ranges for the disease tested.

A current Influenza vaccination administered within the past 12 months.

You will NOT have a hold placed on your UAccess account if you are unable to get the flu shot due to the time of year and availability of the vaccine. However, you will be expected to get the flu shot come flu season (September/October).

Still have questions about your immunization requirements?

Please call us at 520-621-4068 option 1

Submitting Immunization Documentation

You must submit your immunization documents to the Campus Health Medical Records Department. Records can be faxed to 520-621-9471 or submitted electronically through your Patient Link portal. 

  • Go to PatientLink
  • Select Forms
  • Select Immunization History.
  • Enter the dates of your immunizations
  • Attach your immunization documents by clicking 'Add'
  • Submit

Please allow 2 business days for Medical Records staff to review your immunization documentation. You will be contacted by e-mail if your immunizations are incomplete or if additional information is required from you.

Click to Access PATIENTLINK