New Student Health Forms
Download and complete the Student Health History and Immunization Packet. (PDF)
Vaccine-preventable diseases continue to occur on campuses and pose a significant threat to the health, safety and welfare of our campus community. Immunizations offer safe and effective protection. The United States is experiencing a re-emergence of these diseases, in part due to factors such as un-immunized persons and global travel. The American College Health Association (ACHA) strongly supports the use of vaccines to protect the health of our individual students and our campus communities consistent with recommendations of the ACHA Vaccine Preventable Diseases Advisory Committee, the Advisory Committee on Immunizations Practices (ACIP) recommendations published by the U.S. Centers for Disease Control and Prevention (CDC)
It is the goal of the university and our Center for Health and Wellness to provide adequate protection against vaccine-preventable disease and to promote a healthy and safe college environment by requiring students to be vaccinated against and/or screened for certain highly contagious diseases. The goal is best achieved prior to the first year of enrollment at Capital University. Therefore, students will be required to provide proof of the below listed immunizations prior to June 1 if they are entering the university fall semester and by December 1 if entering the university spring semester.
Entering Student Requirements
All entering first year and transfer students born after 1956 must demonstrate proof of immunization against the following diseases:
Chickenpox- Nursing students are required to verify their immunity status through physician's office records or a varicella titer prior to entering their first nursing course.
Measles, Mumps, and Rubella - proof of two (2) doses
Tetanus/Diphtheria/Pertussis - proof of booster dose within the last 10 years
Polio - proof of the primary series and date of last booster
Tuberculosis (TB) Screening - All incoming students must complete the Tuberculosis Screening Questionnaire which is attached to the Health Information and Immunization form. If the student answers “yes” to any of the questions, then they will need to get a TB skin test or PPD. This can be obtained at the student’s primary care provider, retail health clinics such as The Little Clinic, Minute Clinic, Take Care Clinic or at the Center for Health and Wellness after the student is admitted to Capital.
Additional Requirements: All students must complete the Hepatitis B and Meningococcal Meningitis Status Form as required by the State of OhioStudents are NOT required to have the Hepatitis B or Meningitis vaccine in order to enter the university, but ARE required to report their status on this form. Students who have received either or both vaccines must report the dates.
Hepatitis B Vaccines
Hepatitis B Vaccines is highly recommended for all college students and is required by some majors at Capital University
Meningitis Vaccines is highly recommended for college freshman living in congregate housing
Additional Requirements for Nursing and Education Students
Please refer to individual major handbook for specific requirements
Additional Requirements for International Students
All entering first year, transfer and English as a Second Language (ESL) international students must provide documentation of a PPD skin test or T-spot/Quantiferon Gold test regardless of prior BCG inoculation. See separate International TB policy for further details.
Request for Waiver
A student may request a waiver from any vaccination for medical reasons or if vaccination conflicts with religious beliefs. The application for waiver is to be made in writing to the Center for Health and Wellness before July 1st if entering fall semester or December 1st if entering spring semester.
Contagious Disease Outbreak
If the case of an outbreak of a contagious disease on campus for which it is documented that the student has not been immunized, the university reserves the right to ask the student to leave campus until the outbreak/incubation period has resolved
For more information please reference the following websites: