Required Records and Health Forms

Both current and new students who have decided to attend Saint Louis University must submit their immunization records and health history forms to complete their enrollment.

Print Required Health Forms

Note that this packet includes the Tuberculosis Screening Questionnaire, which is required for all students on campus.

Submitting Your Immunization Record and Personal Health History

Submitting a completed personal health history (included in the above required health forms) is also required to enroll at SLU. The history does not require a physician's signature.

Meningitis Waiver

If you are a freshman who will be living on campus, you must complete the meningococcal vaccination requirement either by providing documentation of vaccination or by completing the waiver section of the form indicating that you have received the information and have made the decision not to have the vaccination.

Additional Information on the Meningococcal Vaccine

Deadlines for Form Submission

  • Fall enrollment: Aug. 1
  • Spring enrollment: Dec. 1
  • Summer enrollment: May 1

We encourage you to submit the health insurance waiver form as soon as possible after deciding to attend SLU. Doing so ensures that students with coverage will not be billed for the University-sponsored health plan.

If we receive a partial immunization record or one of the required immunizations is outdated, we will send you notification to your SLU email address.

A registration hold will be placed on your registration if we do not receive your complete immunization records showing you are up to date on all requirements.

Where to Return Your Forms

Forms should be returned to Saint Louis University's Student Health Center:

Student Health Center
3518 Laclede Ave.
Marchetti Tower East
St. Louis, MO 63103
F: 314-977-7165

  • Please ensure that all supporting parts of the forms are included.
  • Incoming students can also submit health forms at SLU101 orientation.
  • You are encouraged to retain copies and documentation of your submission for your records

Immunization Schedule

Hepatitis A


  • Dose one
  • Dose two; six months after dose one

Hepatitis B

  • Dose one
  • Dose two; one month after dose one
  • Dose three; five months after dose two

Varivax (Chicken Pox)


  • Dose one
  • Dose two; four-to-six weeks after dose one

MMR (Measles, Mumps, Rubella)


  • Dose one
  • Dose two; four-to-six weeks after dose one

Tdap (Tetanus, Diphtheria, Pertussis)


  • Every 10 years

HPV (Human Papillomavirus)


  • Dose one
  • Dose two; one-to-two months after dose one
  • Dose three; two-to-four months after dose two

PPD (Purified Protein Derivative: Tuberculosis Screen)


  • Placement Return for reading 48-72 hours after placement

Requirement Details and Further Information

Diphtheria and Tetanus

Documentation of primary series of diphtheria and tetanus toxoid, and a booster within the past 10 years.

More Information About the Diphtheria Vaccine from the CDC

Measles

Documentation of two doses of live measles (or MMR combined) vaccine separated by at least one month on or after the first birthday, or, documentation of physician-diagnosed disease or laboratory evidence of immunity. Individuals who received killed measles vaccine, combination of killed and live measles vaccine, or measles vaccine of an unknown type in the period 1963-1967, are considered unvaccinated, and should receive two doses of live vaccine at least one month apart.

More Information About the MMR Vaccine from the CDC

Mumps

Documentation of one dose of live mumps (or MMR combined) vaccine on or after the first birthday, or, documentation of physician-diagnosed mumps or laboratory evidence of immunity. Persons who received killed mumps vaccine — which was available between 1950-1978 — might benefit from revaccination.

More Information About the MMR Vaccine from the CDC

Rubella

Documentation of one dose of rubella (or MMR combined) vaccine on or after the first birthday, or documentation of laboratory evidence of immunity.

More Information About the MMR Vaccine from the CDC

Varicella

Documentation of two doses of live varicella vaccine separated by at least one month, or documentation of physician-diagnosed disease or laboratory evidence of immunity or birth in U.S. before 1980.

More Information About the Varicella Vaccine from the CDC

Meningitis

Immunization is required for all freshmen students living in residence halls or signed waiver acknowledging risks of Meningitis and benefits of the vaccine.

More Information About the Meningitis Vaccine from the CDC

Tuberculosis

Tuberculosis screening is required for all students. Tuberculosis testing is mandated for:

• International students born in a country with a high incidence of tuberculosis.
• Students with a history of living or traveling for more than two months in areas with a high incidence of tuberculosis disease.
• Students with signs or symptoms of active tuberculosis, a positive tuberculosis skin test or close contacts with a person known to have active tuberculosis.
• Students who have worked in nursing homes, hospitals, or other residential institutions.

More Information About the Tuberculin Test from the CDC

Hepatitis

Immunization against Hepatitis B is strongly recommended for all students and is required for health professions students prior to their clinical assignments.

More Information About Hepatitis from the CDC

Polio

Polio vaccine is not routinely given to adults, and therefore students are not required to receive a booster or a primary series if they were not previously immunized. Students should, however, document their childhood polio vaccine immunization. In the unlikely event of epidemic disease, special requirements may be instituted.

More Information About the Polio Vaccine from the CDC

Please note that the following programs have additional immunization requirements:

  • Nursing
  • Physical Therapy
  • Occupational Therapy
  • Medical School
  • Physician Assistant

Applicability, documentation and enforcement

1. This policy applies to all domestic and international students entering the University for the first time, unless medical or religious exemptions pertain. Students in the School of Professional Studies must only comply with the requirement related to tuberculin testing.

2. Submission of this record, by the date specified, is mandatory. Failure to comply will result in registration being canceled and/or restricted.

3. The university also reserves the right to deny access to campus facilities, including residence halls, if documentation of compliance has not been provided. Further, in accordance with public health recommendations, non-immune students may be excluded from the university campus in the event of a measles, rubella, mumps or diphtheria outbreak or other public health recommendation.

Additional information:

  • Some students may be exempt from this due to age or religion. Please call us at (314) 977-2323 with any questions about these requirements.
  • We also highly recommend the influenza vaccine
  • All travel vaccines can be ordered by our physician after a travel physical (i.e. yellow fever, typhoid, Japanese encephalitis, etc.)
  • School of Professional Studies students are only required to fulfill the Tuberculosis Screening Questionnaire (test required only if need is indicated by questionnaire).
  • Distance learners who will not be taking any portion of their classes on campus do not have to complete immunization requirements.

Protected Health Information

Your privacy is of utmost importance. If you require that we send your medical records or disclose your medical information, please complete and return the Authorization to Release Patient Information. If you would like to release information from another provider to us, please complete and submit the Authorization to Obtain Patient Information.