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. Compliance with expanded immunizations is strictly the student's responsibility.

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.

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.

A series of three appropriately spaced Hepatitis B vaccinations are required.

  • 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.

Completing the 3 shot Hep B series does not guarantee immunity. Obtain your titer ASAP because repeating the Hep B process can take 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 vaccination #3.
  • 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 numeric result and reference range for the results. Flow sheets are not acceptable.

Please refer to the FAQ page for more detailed information regarding the specificity of the Hep B Surface Antibody Quantitative titer.

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.

There are 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 (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.

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 skin test must be administered and read at least 7 days apart, but no more than 21 days apart.
  • Any TST's administered outside these guidelines will not be accepted.
  • 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 you will need to follow up with a Quantiferon TB Gold test.

Your TB clearance is an annual requirement. The Two Step TST is only required for newly admitted students. An annual TST or Quantiferon will satisfy this requirement for future compliance.

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.

Still have questions about your immunization requirements?

Please review the expanded immunization FAQ page.

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