Health Clearance Information
The Hawai’i State Department of Health Immunization branch provides this brochure which includes a summary of the post-secondary school health requirements as dictated in the Hawai’i Administrative Rules, Chapter 11-157.
Post-Secondary School means any:
- Adult Education School
- Business School
- Trade School
- Community College
- College or University
The following are required prior to enrollment at any post-secondary school.
Evidence of immunity to Measles, Mumps and Rubella (MMR).
- A record of immunizations, signed or stamped by a US licensed Medical Doctor (MD), Doctor of Osteopathy (DO), Advanced Practice Registered Nurse (APRN), Physician Assistant (PA), or clinic, must be presented for school attendance. This record must include complete dates (month/day/year) for each immunization. A date which shows month/year only may be accepted provided it is clear that there were at least 30 days between each MMR vaccination.
- Two doses of the Measles vaccination are required, with at least one of the two being the MMR vaccine. Students who received the vaccinations separately must show record of two measles vaccinations, one mumps vaccination and one rubella vaccination.
- First dose must have been given as of January 1, 1968, AND on or after the first birthday. A second dose must have been given at least 4 weeks after the first dose. Measles, Mumps, and Rubella immunizations may be waived if:
- Student was born before 1957.
- Serologic evidence of immunity to measles, mumps, and rubella.
- A medical exemption may be granted by a U.S. licensed provider (M.D., D.O., A.P.R.N., P.A.) and must state in writing that giving a specific vaccine would endanger the student’s life or health.
- A blood test showing laboratory evidence of immunity to measles, mumps and rubella signed by a US licensed MD, DO, APRN, or PA or PA may be substituted for a record of immunizations.
- Students born before 1957 are exempt from the MMR immunization requirement.
- A 45-day grace period (from the start of instruction) will be given if the student submits a medical appointment card or letter from a practitioner showing that the student is in the process of obtaining the required immunization(s).
2. CERTIFICATE OF TUBERCULOSIS EXAMINATION
Mantoux Tuberculin skin test (PPD) or chest x-ray completed within 12 months of school entry date
- ALL students enrolled at Maui College must have tuberculosis (TB) clearance.
- A negative TB skin test (PPD – Mantoux) within one year prior to start of class is required.
- Skin test results must be read in 48 to 72 hours.
- If positive, a chest x-ray is required.
- TB tests performed outside the United States, or skin testing using methods/materials other than Mantoux will NOT be accepted.
- Once you have met your TB clearance requirement, your clearance is valid for four years of continuous enrollment.
- The Certificate of TB Examination may be issued by the Hawaii Department of Health or a U.S. licensed M.D., D.O., A.P.R.N., or P.A.. The certificate must include:
- the date of administration and reading of the Mantoux skin test (PPD)
- the measurement in millimeters of the induration (raised skin reaction)
- the signature or stamp of the MD, DO, APRN, PA, or clinic
- If the transverse diameter of induration (raised skin reaction) is 10mm or greater, a chest x-ray is also required as part of the TB examination to exclude communicable TB. Students with a past positive PPD, documented as stated above, may have a chest x-ray without a repeat skin test.
A registration hold is placed on the student’s account until s/he provides the required health clearance documentation(s). A registration hold prevents registration into classes, UH System-wide.