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Occupational Health Department

Questions regarding these mandatory requirements?
Call 757-446-5870 or
757-446-7105
or e-mail
leelw@evms.edu
Student Health Requirements Form
PDF file
Health Requirements for Incoming Students

EVMS adheres to the Centers for Disease Control guidelines regarding immunization of health-care workers. Incoming medical and health professions students must submit completed health forms to the Occupational Health Department 45 days prior to matriculation.

Copies of immunization records, laboratory results indicating immunity, and documentation of placement and results of tuberculin skin tests or chest X-ray reports if you previously had a positive tuberculin skin test must accompany the health form. Students who do not complete health requirements will not be allowed to matriculate. Failure to comply with the School’s health requirements will result in withdrawal of acceptance to EVMS.

Incoming students are responsible for the cost of any necessary immunizations, laboratory tests, tuberculin skin tests or chest X-rays as these are pre-matriculation requirements. After school begins, the hepatitis B vaccine will be offered to all incoming students who have not been previously vaccinated. Student are responsible for scheduling an appointment with Occupational Health for the immunization.

All documents should be mailed to the Occupational Health Department:

Eastern Virginia Medical School
721 Fairfax Avenue
Norfolk, VA 23507
Attention: Occupational Health Department

Do not return the forms to the program you will be entering.

The following are pre-matriculation requirements:

  • Tuberculin skin testing: you are required to provide documentation of a two-step tuberculin skin test TST) within 4 months prior to the program start date. If the first-step TST is negative, the second-step TST should be administered 1-3 weeks after the first TST was read. (If you have had a TST within the past 12 months, this may be used as the first-step TST.)
     
  • If you have had a previous positive PPD, attach a copy of a chest X-ray report done within the past year and physician documentation regarding treatment dates with antibiotic therapy or why treatment was contraindicated. Please contact us to receive a TB Symptom and Surveillance form that must also be completed.
     
  • Measles, Mumps, Rubella (MMR) immunity: attach documentation of two doses of live MMR vaccine if you were born in or after 1957 or copies of measles, mumps, and rubella IgG antibody titers indicating immunity.
     
  • Varicella immunity: attach a copy of a varicella IgG antibody titer indicating immunity or documentation of two doses of varicella vaccine.
     
  • Diphtheria/Pertussis/Tetanus (DPT): attach series of five immunizations during childhood. If this documentation is not available, the requirement will be waived as vaccination of adults is not recommended.
     
  • Tetanus/Diphtheria/Pertussis (Tdap): attach documentation of a Tdap immunization. If it has been less than two years since your last Td booster, attach a copy of the Td booster documentation.
     
  • Polio: attach documentation of polio immunization (OPV or IPV) series of 4 during childhood. If this documentation is not available, the requirement will be waived as vaccination of adults is not recommended.
     
  • Hepatitis B: If you have had the Hepatitis B vaccine series, attach documentation of the dates of the three doses and a Hepatitis B surface antibody result indicating immunity.

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Revised: May 07, 2008