Q: I started filling out my Health History Form in ink. Is that ok?
A: While we prefer you to use a pencil for the entire form, it is ok to use blue or black ink. If you have not finished the form, please switch to pencil to finish the rest of the form. You do not need to request a new form.
Q: What immunizations are required?
A: Students must meet the New York State and University of Rochester immunization requirements. The common mandatory immunizations are as follows: 2 doses of live measles vaccine, 1 dose of mumps vaccine and 1 does of rubella vaccine. MMR (measles, mumps & rubella) vaccine may be used to satisfy a single dose of measles, mumps and rubella, 1 TD or Tdap (Tetanus), and 1 Polio (date of completion). If you go to www.rochester.edu/uhs, you will find a link in the Pink box for "Health History Form and Immunization." Click on this link and then choose the one that is appropriate for you to find further immunizations that are required.
Q: Do I have to do a PPD (tuberculin skin test)? What should I do if I have a positive PPD Test?
A: Students who have lived in a Country that is endemic for Tuberculosis within the last 5 years for a period of more than 3 months at a time (see paper titled Countries with "low incidence" of tuberculosis in your health packet) or Health Professional Students must take the PPD test. Your test must be within 6 months of the start of your classes. PPD tests completed more than 6 months before admission date are invalid. You do not need a chest x-ray if your PPD result is negative (less than 10 mm). If you have a PPD test that is positive (10mm or over induration) then you must have a chest x-ray done. Please only provide the chest x-ray report. Do not provide the actual x-ray film or a CD of the results. We must have a printed paper report.
Q: I cannot get a PPD test because it is not offered where I am from.
A: If you cannot get the PPD test (because it is not available in your area) before you come to school, there is another option. It's called QuantiFERON ®-TB Gold (QFT-G). This is a new FDA approved blood test (titer) for the detection of tuberculosis (TB) infection. QFT-G is highly specific and a positive test result is strongly predictive of true infection of Tuberculosis. Since this is a blood draw (titer), a copy of the laboratory results must accompany your paperwork. If you do have a Positive test result with a QFT-G test, you must treat it the same as a PPD test and you must have a chest x-ray done. Please only provide the chest x-ray report. Do not provide the actual x-ray film or a CD of the results. We must have a printed paper report.
Q: Does my doctor need to sign my Health History Form?
A: We must have official documentation of your immunizations; however, this does not always mean that your doctor must sign the form. If you have official immunization documentation from your school or from your healthcare provider's office, we can accept that documentation in place of a physician's signature on your Health History Form. You will still need to fill out the ovals in the immunization section of the University of Rochester's Health History Form. The official immunization documentation from your past school or healthcare provider serves as the physician's signature, showing proof of the dates that you entered onto the form.
Q: If my doctor is no longer in practice or I don't have a doctor, where can I get my immunization records?
A: The official immunization documentation can be obtained from your past school or healthcare provider. This documentation will serve as the physician's signature, showing proof of the dates that you need to enter onto the Health History Form. You submit this documentation with your Health History Form. Please do not send this documentation separately.
Q: Can I turn in my form late? I cannot schedule an appointment with my doctor until after the due date.
A: Our goal is to receive the majority of forms from incoming students by June 30 for the fall semester (December 31 for the students beginning in January). If you cannot make the deadline, please send your Health History Form as soon as you can with the intention of our receiving the form prior to your arrival in Rochester. Do not send your immunization records prior to sending the Health History Form. To assure proper input of your information, please send in all of your paperwork including the Health History Form all at the same time.
Q: If I cannot get my immunizations completed before I come to school, what should I do?
A: You can receive your immunizations at UHS after you come to campus. We suggest that you send your Health History Form in now, so we can put you into our system. As soon as you arrive in Rochester, please call UHS at 585-275-2662 to schedule an appointment to receive your missing immunization(s). Please let the receptionist know you would like to complete your immunization requirement. It will be billed to your insurance and you will be responsible if it is not covered. Our UR Student Health Insurance Plan covers most immunizations.
Please be sure to sign and date the form where indicated in part 5. The form cannot be processed without your signature and date.
Q: Do I need to fill out all the ovals (bubbles) on the Health History Form? Why is there a charge for $25 on the form?
A: Yes, you need to fill in the ovals (bubbles) that match the dates of immunizations on the official immunization record. Please darken the circle completely using a pencil (or blue or black ink pen, if you do not have a pencil). Do not put a check mark, X or _ in the circle. The $25 is only for students who do not fully fill in the ovals (bubbles) on the form. Please be sure to sign and date the form where indicated in part 5. The form cannot be processed without your signature and date.
Q: How do I know if you received my Health History Form or if anything is missing?
A: Due to the large number of forms received, we do not send a confirmation to let you know your form has been received. We will notify students whose forms are incomplete or have not been received within 30-45 days after the beginning of classes. If you do not receive a letter from UHS, you can assume your form was received and is complete. Please always check your spam email, just in case. Our suggestion to you is to bring ALL of your immunization records with you when you come to the University of Rochester. Then if your form does not reach us and you to fill out another one, you can come to the UHS Building, room 203 and fill out our Health History Form here, using your immunization records that you brought with you from home.
Q: Can I send a scanned email copy or fax of my form?
A: If you are a full-time student, you must submit the original form. You cannot email or fax your form to our office. Since the form is optically scanned, we can only accept the printed original red bubble form.
Q: I am a current UR employee, what do I need to do?
A: Even though you are a current UR employee, being an employee and a student are looked at separately in the eyes of New York State laws for immunization verification. OEM (Occupational Environmental Medicine) deals with employee medical records while UHS (University Health Service) deals with students. Due to HIPPA regulations OEM and UHS are not allowed to cross reference medical information. The employee/student must do that themselves. Therefore, what you need to do is to call OEM and get your immunization information from them and then you can fill out our form, using the OEM paperwork. Then include the OEM paperwork with our form as proof when you send it to us. That way you won't need to have a doctor sign our form. You will still need to fill out our form, please do not leave the immunization information that coincides with the OEM paperwork and our form blank or you could get charged a fee. OEM's phone number is (585) 487-1000. You can call them and then go and pick up your form. Please do not have them fax UHS the form.
Q: Can I get my form online?
A: If you are a full-time student, you will need the full time Health History Form which is a red bubble form. That form is NOT online or on our web page, as you must submit the original form. You can get the full time form from the admission department of the area of the school that you are going through. To return the form it MUST be mailed to us as you cannot email or fax the form as it is a Scan-a-tron form, thus the reason we can only accept the printed original form. We are sorry for this inconvenience, but the form goes through a scanning process and thus it must be the original for it to do that.
If you are a part time student looking for the part time form, (You must have less than 12 credit hours) you can go here for the Part-Time Student Immunization Compliance Report (PDF)
Q: I can't get PPD, what can I do?
A: If you cannot get the PPD test (because it is not available in your area) before you come to school, there is one other option that you can do.
It's called QuantiFERON ®-TB Gold (QFT-G). This is a new FDA approved blood test for the detection of tuberculosis (TB) infection. As a modern alternative to the 100 year old tuberculin skin test (TST or PPD), QFT-G may offer a more accurate, reliable, and convenient TB diagnostic tool. QFT-G is highly specific and a positive test result is strongly predictive of true infection of Tuberculosis. The test is approved as an aid for diagnosing both active TB disease and latent TB infection (LTBI); however, it does not differentiate the two. If you do have a Positive test result with a QFT-G test, you must treat it the same as a PPD test and you must have a chest x-ray done. Please only provide the chest x-ray report. Do not provide the actual x-ray film or a CD of the results. We must have a printed paper report.