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Morningside Graduate School of Biomedical Sciences Health Clearance Checklist

Please download the attached Health Clearance Form below as a guide to requirements for your program. Please do not delay as some follow up labs can take approximately 1- 2 months to complete.

Please note: Student Health does not complete incoming student health requirements.

All documentation submitted must include last name, first name and date of birth to be accepted.  Student Health will update the electronic checklist as documentation is reviewed and provide feedback when indicated. If you have a question, you may post and submit it though the portal explanation section. 

Forms required for your program can be found under the forms section of the website.

It is recommended students visit the Student Health website ahead of your start date to review available healthcare options. Student healthcare is community based due to UMASS Chan’s location and partnerships in the area  www.umassmed.edu/studenthealth

 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 9 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. (Note TST symptom review form link is above and should only be filled out if you have had a POSITIVE TST or IGRA)

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.