Medical and Immunization Requirements

The following immunizations are required to be current as of July 1. Incomplete immunizations may delay class attendance.

PNWU-COM requires the following information prior to matriculation. Schedule a physical with your health care provider as early as one year prior to beginning classes. Some of these requirements may take as much as six months to complete. The following immunizations are required to be current as of July 1 and maintained annually while enrolled. Incomplete immunizations may delay class attendance.

Tuberculosis Survelance Requirement: PNWU requires yearly tuberculosis (TB) exposure testing as recommended by the CDC as part of a general infection control program designed to ensure prompt detection and treatment of people who have suspected or confirmed TB disease. People who work or receive care in health care settings are at higher risk for becoming infected with TB.

Latent TB infection means a person was infected with tuberculosis, but does not have active TB disease spreading to others. The only sign of TB infection is a positive reaction to the tuberculin skin test or TB blood test. The person does not feel sick and does not have any symptoms while the TB is latent. Untreated latent TB can progress to infectious active TB.

A two-step Purified Protein Derivative (PPD) skin test or Interferon-Gamma Release Assay (IGRA) serum test (example; QuantiFERON-TB®, T-SPOT®, etc.) is required within six months of matriculation and completed prior to matriculation. PPD skin test or IGRA serum test is required annually thereafter. Failure to complete the annual PPD skin test within the 12-month deadline will require a repeat of the two-step PPD skin test.

  • Students electing the IGRA serum test must continue with IGRA serum test annually.
  • Students with a history of Bacillus Calmette-Guerin (BCG) immunization should consult with their health care provider about preferentially utilizing the IGRA serum test instead of the PPD skin test.
  • If PPD skin test results are positive, the student must provide evidence of further evaluation by a health care provider. If a diagnosis of latent or active TB is determined by the provider, then provide written evidence of chest x-ray and written proof of ongoing or completed treatment for active or latent TB on the licensed health care provider’s official letterhead.
    • A Chest x-ray must be repeated every three years
  • If IGRA serum testing is positive, then provide written evidence of a chest x-ray and written proof of ongoing or completed treatment for active or latent TB, on the licensed health care provider’s official letterhead.
    • Chest x-ray must be repeated every three years.

Incoming and current students who spend time in a country with a high prevalence of TB will be required to have a single repeat TB test eight to ten weeks after they return to the U.S.

Hepatitis B: Documentation of three vaccination series and a quantitative assay > 10.

  • The Hepatitis B Surface Antibody (HBsAB) titer is required and the surface antibody level must be obtained at least four to eight weeks after vaccination series.
  • If HBsAB is negative or equivocal (<10), a repeat series of three Hep B vaccinations should be performed. Upon completion of the repeat vaccination series, then re-titer is obtained four to eight weeks later.
  • If the second HBsAB is negative or equivocal (<10), evaluation by a health care provider to be tested for HBsAg and anti-HBc to determine if there is an underlying infection status.

Tdap: Required one time after 2005.

Tetanus toxoid (Td): Documentation of Td or Tdap immunization within the last ten years

DPT: Documentation of primary series of five doses with D-tap or DPT. 

  • If vaccine record is unavailable, then a serum titer documentation of immunity is required.

MMR: Primary series of two dose vaccine and a serum titer documentation of immunity is required. 

Varicella: Documentation of two-dose vaccine. 

  • If the vaccine record is unavailable, then a serum titer documentation of immunity is required, even with a history of disease.

Polio (Type OPV/IPV): Documentation of childhood four dose series unless dose number three was given on or after age four. 

  • If vaccine record is unavailable, then a serum titer documentation of immunity is required.

Influenza: vaccination annually, upon release of the yearly influenza vaccine, usually in early fall of each year.