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Health Forms

Students are required to submit the required immunization form with proof of immunization for measles, mumps and rubella immunity before enrollment at CSC. The form also includes information about Meningococcal disease.


  • Signed Required Health/Meningitis form (linked above)
  • 1st MMR after 1 year of age
  • 2nd MMR at least 28 days after date of 1st MMR
  • TB skin test within the last six months. (International students only)

The Nebraska State College system Board of Trustees Policy does have allowances for exemption from immunization for medical or religious reasons or a temporary exemption for those taking classes online or distance learning only.
A health forms packet will be emailed to your student after he/she is registered for classes.

Recommended Immunizations

Other immunizations are recommended for students but not required for admission. They include:

  • Hepatitis B vaccination (series of three shots)
  • Varicella vaccination if no history of chicken pox (series of 2 shots)
  • Influenza vaccination (yearly) offered through College Health Services at a reduced cost each fall.
  • Meningococcal vaccination available through College Health Services or Chadron Medical Clinic.
  • Human Papillomavirus (HPV) vaccination (a series of 3 shots).
  • Tetanus Diphtheria booster every 10 years after initial series of 3 DPT vaccinations
    • One adult booster should also contain pertussis.

Health Services works closely with community and area medical resources to provide referrals to physicians, dentists, optometrists, family planning, mental health agencies, laboratories and pharmacies when necessary.

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