2018-19 Immunizations Forms: There are 2 forms to be completed by your healthcare provider:
1. Immunizations Form - will become available in March 2018
2. TB Testing Form - will become available in March 2018
These forms will need to be completed by your healthcare provider. The completed forms and supporting documentation will need to be emailed to the UW Health Sciences Immunizations Program (HSIP) at my email@example.com.
Immunizations compliance for medical students is managed by the Health Sciences Immunizations Program (HSIP). For information about immunizations requirements for Health Sciences students, please visit the
Health Sciences Immunization Program (HSIP) website.
A 2-step PPD is required. This means two PPDs (tuberculin skin tests) must be placed within 1-3 weeks of each other. At a minimum it takes 10 days to receive the results of the 2 step PPD and 4 visits to a provider to have your PPDs placed and read.
If you are PPD positive please refer to the HSIP website (above) for instructions.
Please note that the SOM conducts annual TB testing for all students in March every year. If your PPD is placed and read earlier than April 1st 2018, you may be off-cycle with future PPD testing through the SOM.
If your provider signs off on your immunizations form prior to completing all vaccine requirements, you will need to email subsequent documentation to HSIP in pdf format at
firstname.lastname@example.org. If your Hepatitis B or Varicella vaccine series are ‘in process’, you will be considered compliant as long as you adhere to your vaccine schedule.
After emailing your Immunizations Form to HSIP, you will receive a response from HSIP about your compliance status. If your status is non-compliant, make sure to follow HSIP's instructions. Immunizations compliance is determined by HSIP, not by the SOM. HSIP will send us weekly reports on student compliance status.
The SOM Compliance Office does not process or interpret student health records and we cannot advise students about vaccine requirements. For questions about immunizations, contact HSIP directly via email at
email@example.com or by phone 206-616-9074.
**Note: If you are currently relying on insurance through your undergraduate program make sure to complete any immunizations or titers prior to leaving your current program.
Health insurance information