North Carolina state law (General Statute 130A-155.1) requires anyone entering college to present a certificate of immunization that documents their compliance with all required immunizations. Your state or country of origin may have different immunization requirements. In order to attend Duke University, you must comply with North Carolina state law.

If documentation is not submitted within 30 days of the start of the term, you will not be permitted to continue attending classes. We reserve the right to deactivate your DukeCard if the minimum immunization requirements are not met. You may obtain any needed immunizations from your private physician, local health department, or Duke University’s Student Health Center.

This is a four step process.

1. Choose and print the appropriate Immunization Requirements Form below and have it completed and signed by your health care provider. Please make sure ALL REQUIRED SECTIONS ARE COMPLETED. If you are missing immunizations, please have them administered at this time.
   --Immunization Requirements Form for Undergraduate/Graduate/Professional Students
   --Immunization Requirements Form for Health Science Students - Physician Assistant, Nursing, Medical, Ophthalmology Assistant, Doctor of Physical Therapy
2. Undergraduate/Graduate/Professional students MUST complete the Mandatory TB Screening Questionnaire
3. Submit immunizations and health history online. Log in using your Duke Net ID, then click on the "Forms" link. Make sure to enable TLS 1.0 encryption protocol on your Internet browser if you have trouble logging in. The online information will not be reviewed until the faxed or mailed documentation is received. 
   --Please note: Your form must be completed before you press the “submit” button. If you press “cancel”, you must re-enter your immunization information. Once the form is submitted, it cannot be re-accessed.
   --This DOES NOT mean the process is complete.  
4. Please be certain that your Name, Date of Birth, and Unique ID appear on each form and that all forms are mailed, faxed, or scanned/emailed to Duke University Student Health Center. Due to the potential for security issues that may be beyond our control, we cannot guarantee the privacy and/or security of immunization records if you choose to submit these records via e-mail.
   
   Fax:    (919) 681-7386
   Mail:   Duke University Student Health Center, DUMC Box 2899, Durham, NC 27710
   Email: DSHS_Immunizations@mc.duke.edu

We cannot guarantee that records received after the deadline will be processed by the 1st day of classes.
Your information will be reviewed by staff.  Immunization records are processed in order of receipt. You will be notified via secure message of compliance or if additional information is needed. Keep a copy for your records. There are occasions when you may need to re-submit your documentation.

Deadlines for submission:     

• Fall admission - June 30
• Spring admission - December 15
• Summer admission - April 15

All Duke Students are eligible to get their routine vaccinations at Duke Student Health Center. You can either walk-in or call for an appointment at 681-WELL (9355). If you choose to walk in without an appointment, we will do our best to fit you into the immunization schedule. There may be lengthy wait times and there is no guarantee that we can see you the same day.

Important Notes:
When a record of immunization cannot be provided, the student must be revaccinated at an age-appropriate, accelerated schedule to the minimum requirement by law.

Students who have begun a series of immunizations, but have not completed the series due to the need to meet minimum intervals between doses, are considered in process and may attend school.

When a record of immunization cannot be provided, the student must be revaccinated at an age-appropriate, accelerated schedule to the minimum requirement by lawACIP allows a grace period of 4 days (i.e., vaccine doses administered up to 4 days before the recommended minimum interval or age can be counted as valid). However, if a dose was administered 5 or more days earlier than the recommended minimum interval between doses, it is not valid and must be repeated. The repeat dose should be spaced after the invalid dose by the recommended minimum interval.

• Diphtheria, Tetanus, Pertussis: 3 doses required, with one being given within the past 10 years. If you need a booster, it must be given as Tdap (Boostrix or Adacel) Tdap is required for all Health Science students.  If you cannot provide this documentation, you must complete an adult series. The adult series consists of one (1) dose of Tdap followed by two (2) doses of tetanus/diphtheria vaccine, with the second dose being given one (1) month after the first dose. The third (3) dose given six months after the second dose.
• Measles (Rubeola), Mumps, Rubella MMR: 2 doses REQUIRED if single antigen vaccine given must have 2 Measles, 2 Mumps and 1 Rubella OR positive MMR IgG antibody titer. The first dose must have been received at 12 months of age or later. The second dose must have been received at least 28 days after the first dose as per CDC guidelines.
• Hepatitis B: 3 doses required for Undergraduates and Health Science students. Minimum intervals between doses: 4 weeks between first and second dose, 8 weeks between second and third dose and at least 16 weeks between first and third dose. Optional two-dose schedule of Recombivax HB® only for vaccination of adolescents aged 11-15 years.  Positive Hepatitis B surface Antibody (HBsAb) quantitative titer (greater than 10 mIU/ml) REQUIRED for Health Science students. If the quantitative titer is less than 10 mIU/ml, a second 3 dose Hepatitis B series must be completed and a quantitative HBsAb titer rechecked 2 months after completion of second 3 dose series.
• Meningococcal Vaccine: REQUIRED for undergraduates given on/after age 16. If initial dose was given before age 16, a booster dose of conjugate vaccine (Menactra or Menveo) is required to protect student during college years
• Polio: 3 doses REQUIRED for students under age 18
• Varicella (Chicken Pox): History of disease or proof of 2 varicella vaccines and Varicella IgG titer required for all health science students. Proof of disease and/or vaccination highly recommended for all other students. This is required if you choose to volunteer in the hospital.

Acceptable Records of your Immunizations may be obtained from any of the following:

• High School Records – These may contain some, but not all of your immunization information. Your immunization records do not transfer automatically. You must request a copy.
• Personal Shot Records – Must be verified by a doctor’s stamp or signature or by a clinic or health department stamp.
• Local Health Department
• Military Records of WHO (World Health Organization Documents) - These records may not contain all of the required immunizations.
• Previous College or University – Your immunization records do not transfer automatically. You must request a copy.

The NC Department of Health and Human Services has additional tips for tracking down your immunization record.

Tuberculosis Screening Information 

Certain students are required to be tested for tuberculosis (TB) to comply with Duke University immunization requirements. Non-health science students must complete the Tuberculosis Screening Questionnaire included in the Immunization Requirements Form for Undergraduate/Graduate/Professional Students to determine your testing requirements.

The Student Health Center utilizes the T-SPOT.TB test, which is a new blood test that was approved by the FDA in 2008. This new test is important for those who have had the BCG vaccination.  Results are unaffected by BCG vaccination, age or immunosuppression.

Testing must be done here at Duke Student Health once you arrive on campus. You must be enrolled in the Duke Student Medical Insurance Plan for the month of July to have insurance coverage for the test in July. Otherwise, please wait until August 1st to have the test.



We encourage you to drink plenty of fluids before you come in for your T-Spot.



Your immunization status is listed as non-compliant until the testing is complete. This will ensure compliance with North Carolina State Immunization Statutes, and your continued enrollment at Duke University.
 


Here are some key questions and answers regarding the T-SPOT.TB test:


1. How is the test administered?

   Blood sample is taken at the Student Health Center.

2. How is the test read?

   Test is performed by a laboratory that reports the result to the Student Health Center.

3. How are the results communicated to the patient?

   Students will receive an email with the test results.
4. How much does the test cost?

   $60, which will be paid at the Student Health Center either by cash or credit card or may be charged to the student's Bursar account. Students will be given a receipt that can be used to file a claim with their insurance company. The Student Health Center will NOT file insurance claims for the T-SPOT.TB test.

5. What happens if my test result is positive?

   A positive test means that you have either latent or active TB. Your doctor will advise you on whether or not any additional testing, such as a chest x-ray, is needed.
 


* Always consult your healthcare provider for additional advice. For more information, visit http://www.tspot.com  or http://www.cdc.gov/tb/topic/basics/

For TB testing, please call 919-681-9355 to schedule an appointment.