Health Clearance Requirements

What immunizations are required by the 1st day of school?

If you do not have the required immunizations by the first day of school, you must provide an appointment card from your doctor showing you are in the process of completing the missing immunizations.

• TB (Tuberculosis) Clearance TB Clearance obtained within twelve months prior to the start of instruction OR obtained on or after the age of sixteen.
• MMR (Measles-Mumps-Rubella) Two doses of Measles vaccine are required, with at least one of the two being Measles-Mumps-Rubella (MMR) vaccine. Doses are required to be administered after age 12 months and spaced at least one month apart.  Doses given prior to 1968 are not valid. Students born before 1957 are exempt from this immunization requirement. In compliance with state law, we can no longer accept Mumps IgG blood test as proof of immunity.
• Varicella (chickenpox) Two doses are required. Students born in the United States prior to 1980 are exempt from this immunization requirement. A signed, documented diagnosis or verification of a history of vaccine disease or herpes zoster by a practitioner may be substituted for a record of varicella vaccination. Evidence of having varicella disease must be confirmed by and MD, PA, DO, or NP.
• Tdap (Tetanus-Diptheria-pertussis) One dose of Tdap administered after age 11 and after 2005.

Where can I get a TB Test or Immunizations?

• Talk to your doctor. If you don’t have a doctor and need one, call Aloha United Way 2-1-1.
• Wailuku Health Center 121 Mahalani Street Wailuku, HI 96793 (808) 984-8260 / (808) 984-2128 – TB ONLY
• University of Hawaiʻi Maui College Student Health Center 310 W. Ka‘ahumanu Ave. Kahului, HI 96732 (808) 984-3493

Print the UH Health Clearance Form and bring it to your medical provider. The medical practitioner will review the requirements, enter the required information, and sign each form. Note that forms must be completed by a US licensed practitioner. A US licensed practitioner signed record of immunizations (and any supporting documentation - with dates) may be submitted in lieu of the UH Health Clearance Form.

Where do I submit?

MED+PROCTOR

Step One: Register

• Ensure you have been admitted and have a UH Student ID number and have created your UH username before completing this process. Click here if you need to create your UH Username. You can find your UH ID number in your acceptance email.
• Then go to Med+Proctor to register for an account.

Step Two: Gather your documents

• If you have your health clearance records, you may upload that to Med+Proctor. Or if documentation is not available, you may download the UH Health Clearance Form and have a licensed medical provider complete the form. (A licensed provider can sign the form; it does not have to be the provider who originally vaccinated you.)

Step Three: Upload

• Once you've collected all the necessary documents and or your form has been completed and signed by a healthcare provider, log back into your account and upload it to Med+Proctor. (If you have proof of immunization from a pharmacy, you may upload those and Med+Proctor will be able to verify this information.)

Questions and Support

• If you have difficulty using MedProctor, you may contact MedProctor between 8 a.m. and 5 p.m. Central Time, Monday through Friday. You may also reach a representative by email at: help@medproctor.com. MedProctor also offers LiveChat services Monday-Friday 8am-5pm CST.

Post-Secondary School Student Vaccination Requirements

TB (TUBERCULOSIS)

• A completed TB Risk Assessment Form (such as the State of Hawaiʻi Department TB Risk Assessment Form)
  • This form must be completed within 12 months of starting at UH or must have been completed on or after the age of 16.
• IF the Risk Assessment Form presents risks, one of the following is required:
  • A negative Tuberculin skin test (PPD-Mantoux). The skin test must be read 48-72 hours after administration and documented in millimeters (mm). Test results without the induration in millimeters will be rejected.
  • A negative QuantiFERON Gold In-Tube or T-Spot Blood Test.
  • A negative chest x-ray (taken within the last 12 months) with laboratory report/results attached.

TB EXEMPTIONS:

• Not required if the planned course of study is less than 120 days.
• If the student is never physically on campus for instruction or training.
• If the student is enrolled in the Early College Dual Enrollment program.
• If the student is taking on-line only courses.

A TB CLEARANCE MAY BE OBTAINED FROM ANY OF THE FOLLOWING:

• Free testing is available at the State of Hawaiʻi Tuberculosis Control Program clinics.
• Testing is available at the UHMC Health Center.

NOTES:

• TB clearance should be completed before receiving any live vaccines or before getting any vaccines.
• Quantiferon Gold Test/Blood Test Results done outside of the U.S. are accepted
• All TB risk assessments/skin tests/chest x-rays MUST be completed and signed by a U.S.-Licensed Healthcare Professional (M.D., D.O., N.P., P.A., or clinic stamp). (Chapter 164.2 of Title 11. Hawaiʻi Administrative Rules (HAR) for Tuberculosis)

MMR (MEASLES, MUMPS, RUBELLA)

• 2 doses of MMR (Measles, Mumps, and Rubella) are required
  • 1st dose must have been given on or after 12 months of age.
  • 2nd dose must have been given at least 4 weeks after the first dose.

MMR EXEMPTIONS:

• Student was born before 1957 (must provide proof of birth date).
• Laboratory evidence of immunity (positive antibodies) to Measles and/or Rubella. Please note that the State of Hawaiʻi Department of Health does not accept serologic test results for Mumps immunity.

VARICELLA (CHICKENPOX)

• 2 doses of varicella vaccine are required.
  • 1st dose must be given after the age of 12 months.
  • 2nd dose must have been given 4 weeks after 1st dose (for students who received 1st dose at age 13 years or older)

CHICKENPOX EXEMPTIONS:

• Students born in the United States prior to 1980 (Must provide proof of date of birth)
• A signed, documented diagnosis or verification of a history of varicella disease or herpes zoster by a practitioner may be substituted for a record of varicella vaccination. Practitioners may complete this form to confirm the documented diagnosis.

TDAP (TETANUS-DIPHTHERIA-ACCEULAR PERTUSSIS)

• 1 dose required - most recent Tdap.
• NOTE: Valid Tdap dose must be administered on or after 10 years of age. Do not confuse with DTaP (administered to children 0-6 years of age). Tdap was licensed for use in the U.S. in 2005. Doses recorded as “Tdap” with an administration date in the U.S. prior to 2005 should not be counted.

MCV (MENINGOCOCCAL CONJUGATE) - UH Manoa and UH Hilo only

• 1 dose required - most recent dose must have been given on or after the age of 16 years.
• NOTE: Only required for new students planning to live on-campus who are 21 years of age or younger.

EXEMPTIONS FOR IMMUNIZATIONS

• Valid exemptions for MMR, Varicella, MCV and TDAP immunizations include medical and/or religious reasons. NO OTHER EXEMPTIONS ARE ALLOWED BY THE STATE
• Persons claiming a religious exemption to immunization requirements must sign the following form Religious Exemption Form for Immunizations (PDF) *. There are NO religious exemptions to Tuberculosis clearance requirements.
• Persons claiming a medical exemption to immunization requirements must have their physician sign the Medical Exemption Form (PDF) *.
• There is NO medical and/or religious exemption for TB. TB clearance is required to participate in any on-campus activity (eg. in-person classes, etc.)
• Those enrolled in Fully Online Programs are exempt from submitting Health Clearances. *Please note, if you wish to participate in on-campus employment and or activities, you must submit Health Clearances to be cleared to do so.

Frequently Asked Questions (FAQs)

What are the health requirements for post-secondary school attendance in Hawaiʻi?
The Hawaiʻi Administrative Rules, Chapter 11-157 require all students to meet immunization and tuberculosis clearance requirements before they attend post-secondary school in the state. For information about these requirements, see the Post-Secondary Schools: Important Notice to Students and Immunization Requirements Summary.

When are the health clearance requirements due?
All students entering post-secondary school in Hawaiʻi for the first time must have met immunization requirements by the first day of the semester. Please allow 1-2 weeks after submission for processing. Please note that students will not be allowed to attend classes face to face or hybrid classes until they meet the health clearance requirements. *If you wish to register for face to face or hybrid classes, make sure to submit your health clearances before your registration date so you can register for these classes in STAR.

What health records are required?

• Tuberculosis (TB) Clearance
• 2 doses of the Measles, Mumps, Rubella (MMR)
• Tetanus-diphtheria-pertussis (Tdap)
• 2 doses of the Varicella

Evidence of immunization for Meningococcal Conjugate (MCV) is also required for students who are 21 years or younger and who will be living in on-campus housing for the first time.

Where do I obtain a copy of my health records?
Students should obtain the record from their healthcare provider. In some cases students may be able to access this information from their electronic health records. Recent high school graduates may also submit their high school record of health clearances which will suffice if it reports all the necessary information for all of the required vaccinations.

What if I am transferring from another state or territory of the U.S.?
The university will accept out-of-state records that meet the State of Hawaiʻi requirements for immunizations, and tuberculosis clearance. Health clearance requirements vary from state to state. You will need to show proof that the health requirements have been met prior to attendance. Please submit documentation of immunizations signed by a US provider to show compliance with the State of Hawaiʻi requirements.

What document(s) can I submit?

• Immunization records from your healthcare provider, public health department, or state immunization registry, or
• Copy of your childhood immunization records, or
• Copy of your military immunization record

For military records, if I have a record that says "indefinite" for MMR, etc., would this be acceptable?
Yes. As long as it notes complete dates (month/day/year). Per 11-157-3.05 Documentation of immunizations (b) Documentation of immunizations shall include the complete date (recorded as month/day/year) the vaccine was administered. An immunization record without complete dates may be accepted…if it can be determined that each vaccination complied with the minimum interval and age requirements.

However, please note, that if military records includes a titer for MMR, this is not acceptable per the Department of Health’s Immunization Requirements.

Is DTap the same as Tdap?
No, it is not the same. DTaP is administered to children less than 7 years of age (i.e., usually administered to infants with series completion prior to Kindergarten entry). Tdap is a different vaccine that is administered to persons >7 years of age (usually administered to adolescents 11-12 years of age along with HPV and MCV).

Are titers allowed for MMR and/or VC?

No. See: https://health.hawaii.gov/docd/files/2019/10/Immunization-Requirements-Summary.pdf, Table 6 (excerpted below). Serologic evidence of immunity is permitted for measles and rubella but NOT for mumps. Note, there is no single antigen mumps vaccine available so persons would need to receive MMR vaccine anyway. Serologic evidence of immunity is not permitted for Varicella.

Excerpt from Table 6:

Documentation of serologic evidence of immunity
• Serologic evidence of immunity may be substituted for a record of immunizations for diphtheria, tetanus, hepatitis A, measles, or rubella (ACIP’s General Best Practice Guidelines for Immunization: https://health.hawaii.gov/docd/files/2019/08/HAR11-157_EXHIBIT_B.pdf
• Documentation must include a laboratory report, signed by a practitioner, certifying that the student is immune to the named disease(s).

Varicella
• Students born in the United States prior to 1980: varicella vaccination not required
• A signed, documented diagnosis or verification of a history of varicella disease or herpes zoster by a practitioner may be substituted for a record of varicella vaccination

Can the health form be signed by a Pharmacist?
If immunization is received at a Pharmacy, the Department of Health recommends that you take the immunization card to your physician to verify the information and certify (sign) the UH Health Clearance Form OR if you do not have a physician, you can upload your documentation to Med+Proctor and one of their APRNʻs can review and verify the information for you.

How do I contact support for Med+Proctor?
You may contact MedProctor between 8 a.m. and 5 p.m. Central Time, Monday through Friday. You may also reach a representative by email at: help@medproctor.com. MedProctor also offers LiveChat services Monday-Friday 8am-5pm CST.

I am having difficulty uploading my documents. What tips do you have?
You may simply take a picture of the immunization form and upload it through your mobile device. OR you may save a scanned image of the form to your computer and upload.
Med+Proctor will not accept a word document.

International Students Health Requirements

Health and Accident Insurance Requirement, Non-Residents
All non-resident international students must demonstrate proof of enrollment in a health and accident insurance program before any such student shall be permitted to enroll. The intent of this requirement is to protect international students against the high cost of unanticipated health care expenses resulting from accidents or illness.

Submit your Certificate of Tuberculosis (TB) examination and record of immunizations of Measles, Mumps, Rubella (MMR), Tdap, and Varicella (chickenpox) through Med+Proctor. 

TB (Tuberculosis) Clearance

• Foreign Testing
  • Acceptable tests: T-Spot or Quantiferon tests done overseas.
    • “Clearance” still needs to be issued and signed by U.S. Licensed Medical Doctor (MD), Advanced Practiced Registered Nurse (APRN), or Physician Assistant (PA).
  • Not acceptable tests: Foreign skin tests or foreign x-rays.
• TB Clearance needs to be from an M.D. in the U.S. or Hawai‘i BEFORE you can register for classes.
• Hawai‘i State Board of Health requires all international students to take a TB test here on the island shortly after arrival. Students should plan to arrive in Hawai‘i in enough time to take the test and receive results prior to the start of the semester.

Where can I get a TB Test?

Hawai‘i State Dept of Health Tuberculosis Program – TB ONLY

Immunizations

Documents for MMR, Varicella, and Tdap immunizations must be in English or easily read.

For information on obtaining immunizations and/or TB test please contact: University of Hawaiʻi Maui College Student Health Center 310 W. Ka‘ahumanu Ave. Kahului, HI 96732 (808) 984-3493 Wailuku Health Center 121 Mahalani Street Wailuku, HI 96793 (808) 984-8260 / (808) 984-2128

Map to Wailuku Health Center