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WesternU / Student/Employee Health / Health Clearance FAQs

Health Clearance FAQs

Health Clearance FAQS for Incoming Students

Please carefully read the details below regarding the documentation you must submit to SEHO in order to register for classes.

  1. Healthcare clearance by HealthCare Provider: must be within six (6) months of your first day of classes at WesternU).
  2. Serum blood titer reports: must be drawn within one (1) year of matriculation and show you are immune against measles, mumps, rubella, varicella and Hepatitis Immunization records and/or “had the disease” alone will not be accepted for these diseases. You must submit serum titer lab results that include reference ranges, along with your immunization records. These records must show, at minimum, your name, the name of the vaccine and the date of administration.
    • Hepatitis B (HbsAb, QN) [NOTE: only a QUANTITATIVE result will be accepted for this titer]
    • The following titers can be either Qualitative or Quantitative
      • Measles (Measles AB, IgG, EIA)
      • Mumps (Mumps AB, IgG)
      • Rubella (MMR AB, IgG)
      • Varicella (Varicella AB, IgG),
    • NOTE: The Student-Employee Health Office (SEHO) can provide you with a serum blood titers order/referral if you prefer to obtain the blood draw at any independent lab facilities (e.g., LabCorp, Quest Lab), other than your healthcare provider’s office. You may request the order by emailing us at stu-emphealth@westernu.edu.
    • Serum blood titers are NOT the same as vaccinations/immunizations.
    • Serum blood titers cannot be more than 1 year-old from the start of matriculation.
    • You must submit the actual laboratory reports for the above serum blood titers. Please ensure that reference range are indicated on the quantitative results.
  3. Rabies titer (applies to Veterinary Medicine students only): must be a Rapid Fluorescent Focus Inhibition Test (known as a RFFIT) and ONLY if the Rabies vaccine series was received/completed prior to enrolling for fall semester classes. Please note the RFFIT is the only rabies titer we will accept. This titer is due no later than September 30th of the current year.
  4. Based upon your health history or current health status, if a particular immunization is medically (temporarily/permanently) contraindicated, a signed letter from your licensed healthcare provider attesting to this contraindication will be acceptable. However, you will still be responsible for obtaining the immunization clearance as soon as your temporary health issue is resolved. You will not be cleared to start any clinical rotations without this clearance.
  5. Hepatitis B vaccine series: if you have initiated the Hepatitis B vaccination series prior to starting classes, but have not yet completed the series, registration for your first semester of classes will not be delayed, if you submit documentation showing you have started the Hepatitis B vaccination However, you will need to submit proof of receiving the remaining vaccine(s) as soon as they are due, or a hold will be placed on your student account. You must also provide a Hepatitis B Surf AB QN titer, which was drawn at least 30-days after your last Hepatitis B vaccine.
  6. Tetanus/Diphtheria/Acellular Pertussis (Tdap) booster: we require one documented Tdap booster within the last 10 years. An immunization record is required for this vaccination.
  7. Tuberculosis (TB) clearance: YEARLY REQUIREMENT NOTE: If you need to have the 2-step (meaning 2 separate) PPD skin test, they must be at least 7 days apart or they will not be accepted. It is your responsibility to renew your yearly TB clearance and submit it to SEHO before it expires. The only acceptable TB clearance is one of the following:
    • Tuberculin Skin Test (commonly known as a PPD): PPD results must be read 48- to 72-hours after administration and the results must indicate millimeters of induration and not simply “negative” or “positive.” The form must be dated and signed by a licensed healthcare provider, or it will not be
    • IGRA lab test: reports cannot be more than 6 months from date of starting classes and must indicate qualitative results. This blood test is valid at WesternU for four (4) years however students must also submit a completed, signed and dated TB Symptoms Health Screening checklist form on a yearly basis to the Student Health This test is preferred if you have a history of having received a BCG vaccine.
    • Chest x-ray: If you have a prior history of latent TB infection (LTBI) as determined through a tuberculin skin test (PPD) or a blood test (IGRA), a licensed healthcare provider must provide a signed, written report that shows you do not have active TB disease. If a chest x-ray was required for TB clearance, a copy of the actual radiology report and a completed TB Symptoms Health Screening checklist form must accompany your health clearance documents. Please note that the chest x-ray cannot have been taken more than 6-months prior to the start of your start of your
    • Prior history of active pulmonary TB: a licensed physician must provide a signed, written report that must show you have completed, or are in the process of completing, all required therapy. The report must include the name of the medications, dosages, frequency of administration, and  total doses received. If you have completed the therapy, the report must state this fact, including the date the treatment was completed. If your treatment is still in process, the report must state when it is expected to be completed. Additionally, a chest x-ray report is required for admission clearance. You must provide a copy of the actual radiology report and it cannot be more than 6-months old if: 1) you have completed the treatment and/or, 2) from the day you start class.
    • History of BCG vaccination: prior BCG vaccination is NOT a contraindication to either PPD or IGRA. IGRA test is preferred if you have received a BCG vaccine in the past. In this setting, interpretation of the results of screening tests for TB infection will take into account each of the following:
      • the length of time between past BCG vaccination and the screening test; and
      • the risk of infection with Mycobacterium tuberculosis.
  1. Influenza vaccination: YEARLY REQUIREMENT—all students must receive the annual influenza vaccination every fall. Documentation of receipt of this vaccination is required and must be submitted to SEHO email no later than the November 30th each year or a hold will be placed on your account.  If you have a medical contraindication to receiving the yearly influenza vaccine, a note from your healthcare provider on their letterhead, that is also signed/dated is required. An email “letter” or “note” will not be accepted.

Veterinary Students ONLY

  1. Rabies vaccination: Students enrolling in the DVM program must provide all of the above documentation as well as show proof of having received the pre-exposure series of rabies immunization or agree to complete the rabies vaccinations as part of the University matriculation process no later than September 30th of the current year.
    1. A pre-exposure series involves the administration of two (2) intramuscular doses of the vaccine given on days 0 and 7.
    2. You can begin receiving your rabies vaccination series now or during orientation week on campus at the WesternU Health. A fee is charged for each of the vaccines you have to receive. For pricing, please call 909-706-3730.

Students who have previously received the Rabies vaccine series may be excused from being re-vaccinated by providing official documentation from their healthcare provider stating the dates they received 2 rabies vaccines. The serum RFFIT titer (which measures level of immunity to rabies) must be done if the two (2) vaccines were received/completed prior to enrolling for fall semester classes. The titer result is due no later than September 30th of the current year.