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Providing Health Information and Immunization Information

Except as provided below, all entering students must show a physician validated immunization record for measles, mumps, rubella (MRR) and diphtheria. Applicants from foreign countries are required to present a record of TB skin or IGRA blood test (Quantiferon Gold) completed within six (6) months prior to first enrollment in addition to the above required record of immunization. This evidence must be presented during the first semester the student is enrolled. If either of the tests is positive, a chest x-ray is required. If a student lives in a country which does not offer the TB tests the student must undergo testing upon arrival at the college.

  • A person qualifies for a medical exemption from the requirement to show proof of immunization when the person files a bona fide statement signed by a physician licensed to practice medicine in the United States verifying that the physical condition of the person seeking admission makes the required immunization unsafe and indicating the specific nature and probably duration of the condition. The exemption shall not extend beyond the period which contraindicates immunization. A person qualifying for this exemption must sign a waiver form provided by the college stating that, if an outbreak of measles or rubeola occurs at the college or surrounding community, the person may be subject to exclusion from the campus and college related activities during the outbreak period.
  • A person qualifies for a religious exemption when the person files for a notarized affidavit on an approved form that immunization is contrary to the religious tenets and practices of the signer. A person qualifying for this exemption must also sign a waiver form provided by the college stating that, if an outbreak of measles or rubeola occurs at the college or surrounding community, the person may be subject to exclusion from the campus and college related activities during the outbreak period.
  • A person qualifies for an exemption from the requirement to show proof of immunization when enrolled in off-campus courses or courses offered off-campus by distance learning technology. This exemption will be revoked if, at any time, the student enrolls in on-campus courses. At that time, the student will be required to show proof of immunization during the first semester the student is taking courses on campus.
  • According to guidelines established by the Center for Disease Control and Prevention, a person born before 1957 needs not submit proof of immunization of measles, mumps and rubeola.

Health FormHealth

Once completed, scan and email or fax the form to the CSC nurse, Ms. Anne Dockweiler at adockweiler@csc.edu or nurse@csc.edu or fax at 308-432-6085. Ms. Dockweiler will communicate with you further for any other requirements.

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