The University of Alabama at Birmingham requires the following vaccinations. Please submit the following form to indicate that you have satisfied these requirements:

Non-Clinical Domestic Immunization Form

Please submit the form using the web-based medical clearance service.

For questions, call 205-975-7751.



  • MMR (Measles, Mumps, Rubella)
    • All students born after 1956 without laboratory evidence of disease must have had 2 doses of MMR at least 28 days apart with the first dose given after 12 months of age.
    • If the student has never been immunized, two injections of the vaccine, at least 28 days apart, are required.
    • In lieu of being re-immunized, such individuals may present proof of having had such immunizations.
    • Proof must be either official documentation or certificates of immunization or positive titers to measles, mumps, and rubella.
  • Tdap
    • All students 11-64 must have had one dose of adult Tdap. If the Tdap is more than 10 years old, a Td booster is required.
    • In the absence of proof of immunization, Tdap can be administered regardless of interval since the last tetanus-diphtheria toxoid-containing vaccine.
    • Adults should receive decennial Td boosters, beginning 10 years after receiving Tdap.
  • Meningitis Vaccination
    • Students up to and including 21 years must provide proof of immunization against meningococcal meningitis (Menactra, Menveo, or Menomune) since turning 16 years of age even if a vaccine dose was given at an earlier age.
    • The booster dose can be administered any time after the 16th birthday.
  • Varicella Vaccination
    • Required for all without evidence of immunity.
      • Evidence of immunity is defined as:
        • Written documentation of 2 doses of varicella vaccine
        • A history of varicella disease or herpes zoster (shingles) based on healthcare provider diagnosis, requiring provider documentation.
        • Laboratory evidence of immunity (VZV IgG antibody titer)
        • Born in the U.S. before 1980
    • Two doses of varicella containing-vaccine given at least 4 weeks apart are required
      • Required if the student does not meet any of the criteria above or have equivocal or negative VZV IgG antibody titers.
    • For those students with a documented history of only one prior dose of varicella vaccine, one additional dose is required, at least 4 weeks after that initial dose.
  • Tuberculosis Screening
    • Proof of tuberculosis screening within the last 6 months must be provided.
    • Acceptable proof includes a PPD (skin test), or a Quantiferon/T-Spot (blood test).
    • Individuals with a history of a reactive Tuberculin skin test or blood test must provide a current chest x-ray (taken since their last positive TB test but within three months prior to enrollment or visiting), indicating that the person is free of active tuberculosis.
    • If the individual has initiated or completed medical treatment for a positive skin or blood test, they are encouraged to provide documentation of such treatment.
    • Students with a history of a positive PPD, followed by a negative CXR and negative Quantiferon/T-spot, and a negative TB Questionnaire requires an updated TB Questionnaire and Quantiferon/T-spot, performed within 3 months of matriculation, all performed in the United States. If either is positive, requires a CXR, performed in the United States, taken since the last positive TB Test/Questionnaire but within 3 months prior to matriculation, and if CXR positive, proof of initiation of appropriate therapy is required, and the student will not be allowed on campus until cleared by the JCDH and UAB Student Health services.
    • Individuals with a positive TB screening test should complete the TB Questionnaire, submit it to Student Health Services, and consult the UAB Student Health Services TB Testing Policy to view the required follow-up.
  • If individuals do not have proof or have not been immunized, they must be immunized against these diseases prior to attending, enrolling, or participation in UAB academic, research, observing, or clinical program activities.
  • Enrolling students must show proof of these immunizations with either an official certificate of immunization, a photocopy of an immunization certificate, or written documentation from their physician. Students must provide proof of their immunizations and TB testing. The preferred and most efficient method to accomplish this is to download the Non-Clinical Immunization Record form. This should be completed by the documenting physician’s office and uploaded, faxed or mailed to by the student. The actual “Blue Form," chart records, and TB records need not be sent if this form is properly completed. The student may send these records in lieu of the Immunization Record Form.



The UAB Student Health Services will provide such immunizations and titer testing on a fee-for-service basis for any student who needs to meet the UAB immunization or titer requirements. Students may choose to fulfill these requirements at the Jefferson County Health Department or a private physician.

Individual UAB Schools may impose additional immunization requirements as needed for their students.

Short term (3 months or less) clinical and International Students TB screening requirements can be accessed on the UAB Student Health Service Immunization website.



Exceptions to this policy may be made in limited circumstances for students who can document medical and/or other contraindications to the vaccine.  Requests for exceptions must be submitted to UAB Student Health Services for consideration and approval.    

Students enrolled in online programs listed at are exempt from this policy.


The Provost is responsible for procedures to implement this policy.