Immunization Policy/Form

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Immunization Data Collection Policy

In accordance with Indiana Code 20-12-71, "Immunization Requirements at the Postsecondary Level," all students who attend Indiana University-Bloomington for their first major semester during or after First Semester 1995-96 must provide immunization information to the Office of the Registrar. One of the main objectives of this state law is to enable the University to provide a safer and healthier environment for students.

The law stipulates that "if a student fails to comply . . . by the beginning of the student's second academic term, the postsecondary institution shall prohibit the student from matriculating in the campus of the postsecondary institution, where applicable, until the requirements are met." Therefore, students who do not provide the required immunization data will be prevented from registering for the second semester or session following their matriculation semester.

In order to be in full compliance with this state requirement, all students must:

• Provide dates of immunizations for the following diseases: measles/rubella (requires two immunizations), rubella/german measles, mumps, tetanus and diphtheria (tetanus and diphtheria booster within the last 10 years) or a physician’s written statement of immunity due to having had the infection, or a statement of contraindication to a vaccine.
  
  
• Provide a signature that indicates information regarding the risks associated with meningococcal disease and the benefits of vaccination have been reviewed.
  
  
• All international students must provide documentation of TB testing in the United States.  Send medical documentation, including your student ID number, to Franklin Hall 100M, Indiana University, Bloomington, IN 47405. Testing may be scheduled at the I.U. Health Center once you arrive on campus. The I.U. Health Center reports TB results to the Office of the Registrar within 2-3 weeks. Please contact their office for specific testing information. The I.U. Health center can be reached by phone at (812)855-4011.
  

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Immunization Requirements

Note: Students born before January 1, 1957 do not need to provide information for measles, rubella and mumps.

1. Measles
   • The student must be immunized with two doses of live measles vaccine.
   • Both doses must be given after 1967.
   • The first dose given on or after the first birthday and the second dose must be given at least thirty days after the first.
2. Rubella (German Measles)
   • The student must be immunized with vaccine on or after the first birthday.
3. Mumps
   • The student must be immunized with vaccine on or after the first birthday.
4. Tetanus, Diphtheria
   • The student must have received a Td booster within the last ten years.
5. Meningitis
   • The student must provide a signature that indicates information regarding the risks associated with meningococcal disease and the benefits of vaccination have been reviewed.
6. Tuberculosis
   • All international students must provide documentation of TB testing in the United States.  Send medical documentation, including your student ID number, to Franklin Hall 100M, Indiana University, Bloomington, IN 47405. Testing may be scheduled at the I.U. Health Center once you arrive on campus. The I.U. Health Center reports TB results to the Office of the Registrar within 2-3 weeks. Please contact their office for specific testing information. The I.U. Health center can be reached by phone at (812)855-4011.

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How To Comply

New students, including intercampus transfer students new to the Bloomington campus, are required to complete and submit the Online Immunization Compliance form in OneStart before the first day of classes.

1. Navigate to the OneStart page, http://onestart.iu.edu; Click the login button.

2. Log in using your Username and Password.

3. Click the Services tab, then the Student Self-Service link on the sidebar.

4. Locate the Services & Information section.

5. Click the Immunization Compliance link.

Documentation from a medical provider is not required if you have been immunized and are able to provide the month and year for the immunizations requested. If you are unable to provide immunization dates, see Exemptions That Require Documentation From Medical Provider below.

NOTE: Even if you completed the IU Health Center’s Health History Questionnaire, you are required to complete and submit the Immunization Complaince Form in OneStart. The immunization section of the Health History questionnaire is intended to provide the Health Center with a record of your immunizations as part of your overall medical history. The Health Center refers to the Health History Questionnaire when providing medical care. The State of Indiana mandates that the University must collect additional immunization information.

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Failure to Comply

Non-compliance warnings for students who do not respond to the early request for immunization data will appear in the registration system when they register for classes and again by email. Registration for the next semester or session will be prevented for students who do not provide this required data to the Office of the Registrar. In order to maintain the confidentiality of medical record information, immunization data provided to other University offices (e.g., Student Health Center) cannot be used to comply with this state mandated requirement.

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Exemptions That Require Documentation From Medical Provider

Documentation from a medical provider is required if you cannot provide the month and year for immunizations due to one of the following:

1. You have immunity because you had the disease. Proof of disease history (measles/rubella and mumps only) is considered to be in full compliance with state law. A physician’s written statement is required to prove immunity.
   
   
2. You have laboratory evidence of immune titer.
   
   
3. You are contraindicated to a vaccine. If a medical contraindication (e.g., allergy to eggs, pregnancy, reaction to vaccine, participation in a current sequence of immunizations, etc.) exists, a written statement from a physician is required to document each specific medical contraindication.

In addition to providing a written physician's statement and/or documentation from a physician, you must also print and complete the Medical Provider form. Return the completed form along with documentation to the Office of the Registrar at the address listed on the form.

Medical Provider Form [pdf] - Requires Adobe® Acrobat Reader®

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Religious Exemption

A religious objection does not exempt a student from immunization unless the exemption is made in writing, and signed by the student. Religious exemption letters can be returned in lieu of the completed Student Immunization Record form. Please note that students filing a religious exemption will be required to leave campus if an outbreak of any listed preventable disease occurs on or near campus.

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Meningitis

Indiana State law requires the University to inform you of the risks associated with meningococcal disease (Meningitis) and the benefits of vaccination. All Students are required to confirm that they have read and understand these risks by completing and submitting the online Immunization Compliance Form in OneStart. (Log into OneStart, go to the Services tab, select the Student Self-Service link from the sidebar and click the Immunization Compliance Form link in the Personal Info section)

Failure to comply with this requirement can cause students to be prohibited from registering for future terms.

Meningitis/Meningococcal disease is a potentially life-threatening bacterial infection caused by Neisseria meningitidis, a leading cause of bacterial meningitis in older children and young adults in the United States. The disease most commonly is expressed as either meningococcal meningitis, an inflammation of the membranes surrounding the brain and spinal cord, or meningococcemia, a serious infection of the blood.

Meningococcal disease strikes about 2,500 Americans each year, leading to death in approximately 10 to 15 percent of cases. It is estimated that 100 to 125 cases of meningococcal disease occur annually on college campuses and 5 to 15 students die as a result. The disease can result in permanent brain damage, hearing loss, learning disability, limb amputation, kidney failure or death.

The incidence of meningococcal disease has increased since the early 1990's, including cases at U.S. colleges and universities. Meningococcal disease is transmitted through respiratory secretions (e.g., coughing and sneezing) and direct contact with persons infected with the disease. Data suggests that certain social behaviors, such as exposure to passive smoking or oral contact with shared items such as cigarettes, eating utensils, drinking glasses, or intimate contact such as kissing could put a person at risk for contracting meningococcal disease. Recent data also show students living in dormitories, particularly freshmen, have a six-fold increased risk for the disease.

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Help

Questions concerning these requirements for immunization information should be directed to a Service Representative, Office of the Registrar, Franklin Hall 100, (812) 855-0121, immune@indiana.edu.

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