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Morningside Graduate School of Biomedical Sciences Health Clearance Checklist

The checklist below is to be used as a guide for submitting official immunization and lab documentation to complete the health clearance requirements.  Please review the checklist carefully and allow enough time, as it can take up to 2 months to complete.  All requirements must be met prior to your start date to be medically cleared. Please upload all official documentation to the Peoplesoft portal. Any medical clearance questions are to be asked through the Student Health section of the Peoplesoft portal.  Once all requirements have been met your status will be approved.  Student health clearance documentation will be held in a secure electronic medical record at UMASS Memorial Health Care (UMMHC) in Epic.  

MMR Requirement (2 options)

 ____ Documentation of 2 valid doses of MMR vaccine (first dose given on or after 1 year old)

                                 OR

 ____ Copy of lab documentation of positive measles, mumps and rubella IGG titers

Tdap

____ Documentation of a Tdap vaccine on or after age 11 is required

____ If it has been greater than 8 years from the date of your last Tdap or Td please provide an updated Td

Varicella

____ Documentation of two doses of Varicella vaccine OR copy of lab report for positive Varicella IGG titer

HEPATITIS B (2 options)

____ Documentation of 3 dose series of Hepatitis B vaccine or 2 dose series of (Heplisav-B)

                                   OR

____ Copy of a positive Hepatitis B surface antibody titer

  IGRA/TST

____ Copy of lab report for a QuantiFERON Gold or T-spot on or after May 1st of current year

____ If you do not have access to the lab test above you will need to provide documentation of two Tuberculin Skin Tests (TST). Second test to be completed 1-3 weeks later. One TST must be completed on or after May 1st of the current year.

If you have a history of a positive TST or IGRA

____ Provide documentation of the positive result as well as any treatment received

____ Copy of a chest x-ray (written report) dated any time after the date of your positive result

____ If the date of your chest x-ray was not completed within the current year, complete the TB symptom review section of the TST form sign and date (Link to form is located above)

Physical

____ Please submit proof of wellness visit/ physical exam within the past 2 years.  This can be in the form of a visit summary indicating the date of the last physical exam. (Physical exam details are not required) 

Disclosure of PHI form

____ Sign and date agreement allowing Student Health to release records for compliance and experiences throughout your education at UMCMS (Link to form located above)

 

RECOMMENDED: Documentation of all covid vaccines /boosters received. Please include brand and dates.