Extension Center Health Record

Once you have completed the form below, please submit immunization records by completing the form here.

Note: Dual credit/dual enrollment students do not need to complete the form below, but must submit immunization records.

Extension Center Health Record

Extension Center Health Record

MENINGOCOCCAL VACCINATION INFORMATION

MENINGOCOCCAL VACCINE -- Required by Texas Law:

On and after January 1, 2012, all first-time students, including transfer students, and International Students must present a certificate to the institution demonstrating they have been vaccinated against bacterial meningitis. The certificate must comply with the rules of the Texas Higher Education Coordinating Board (THECB). A student may be exempt from the requirement if he or she presents a physician's certificate indicating the vaccination would injure the health of the student or if he or she signs an affidavit declining the vaccination due to reasons of conscience action or extraordinary law enforcement emergency.

A new student is defined by state law as a first-time student of an institution of higher education or private or independent institution of higher education, including a student who transfers to the institution from another institution, and a student who previously attended such institutions of higher education before January 1, 2012, and who is enrolling in the same or another institution following a break in enrollment of at least one fall or spring semester.

The bill exempts a student who is enrolled only in online or other distance education courses or who is 22 years of age or older. New and former HPU students to whom this requirement applies will not be permitted to schedule classes until compliance with this law is demonstrated by submitting the necessary paperwork (i.e., shot record, state affidavit, or physician's certificate). The vaccination or a booster must have been received within five years of the student's first day of classes.

Note: See meningococcal vaccine requirements in the section above. Students will not be permitted to schedule classes until compliance with this law is demonstrated by submitting the necessary paperwork (i.e., shot record, state affidavit, or physician's certificate).

TUBERCULOSIS (TB) VACCINATION INFORMATION

Students, both domestic and International, must comply with the Bacterial Meningitis vaccination and additionally the Tuberculosis (TB) Test. TB tests are required for students who have traveled outside the United States within the past 12 months or who were born outside the United States. Negative test results must be presented to the University Nurse before students can begin classes.
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