Immunization and Student Health Policies
Mandatory Student Health Records
A complete physical examination, immunization history, and personal health history are required for admission to the School of Medicine and must be received by the Student Health Service prior to matriculation.
While North Carolina Immunization Policy Rules 15ANCAC 19A.0400, effective July 1, 1994, require that specific immunizations be documented within thirty (30) days following enrollment, all immunization obligations must be fulfilled before matriculation. Failure to comply will result in suspension until immunization or documentation is complete.
Wake Forest University School of Medicine's requirements exceed the state laws because it follows guidelines provided by the Immunization Practices Advisory Committee of the U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, for persons working in health-related occupations [HHS Publication No. (CDC) 84-8017].
Policies and Procedures
Diphtheria/Pertussis/Tetanus - Tdap is now preferred
- Tetanus/Diphtheria (TD or Td or Tdap) within past 10 years
- Two doses live attenuated vaccine or two MMRs given after 12 months of age and at least one month apart, or
- Laboratory evidence of immunity (Rubeola titer)
- Two doses live attenuated mumps vaccine or two MMRs after 12 months of age, or
- Laboratory evidence of immunity (mumps titer)
Rubella (German Measles)
- One dose live attenuated mumps vaccine or two MMRs after 12 months of age, or
- Laboratory evidence of immunity (rubella titer)
Chickenpox (Varicella zoster) titer
- Laboratory evidence of immunity to Varicella
- History of disease will not be accepted.
- Varicella vaccines will be required for negative titer results as per recommendations (currently two doses).
- The series of three shots is highly recommended for medical and PA students. This is the only immunization not required before matriculation. Students who decline must sign a document of declination. All or part of the series may be received outside of Wake Forest University School of Medicine, but documentation must be given to Employee Health. A blood titer determining immunity is recommeded after the series is finished. Students will be billed for the vaccine and post-vaccine titer through the cashier's office.
- A TST is required within the 12 months prior to the matriculation date. Tine test are NOT acceptable.
- A TST is not required if documentation of a positive TST is provided and includes millimeter measurement (mm). When a prior TB test has been positive, you must provide a copy of your chest x-ray report made within the 12 months prior to the matriculation date and documentation of any treatment received.
Blood-borne Pathogens Prophylaxis
In keeping with Occupational Safety and Health Administration (OSHA) standards, all students must annually document attendance at a training session devoted to the avoidance of biological hazards. This instruction will take the form of mandatory lectures emphasizing the control of blood-borne pathogens.
The procedures for care and treatment after accidental exposure to a biological hazard are available from Employee Health, who should be contacted at 336-716-4801 immediately upon a needle stick or other work-related hazardous occurrence. After 4:30 p.m. and on weekends and holidays, students should call 336-716-4801 and follow the prompts.
WFUBMC Influenza Immunization Policy
It is the policy of Wake Forest University Baptist Medical Center (WFUBMC) to protect patients, employees, students, trainees, volunteers, and the community from influenza infection through annual immunization of all WFUBMC employees, students, trainees, and volunteers.
This policy applies to all WFUBMC employees, students, trainees, and volunteers. For purposes of this policy WFUBMC includes North Carolina Baptist Hospital, Wake Forest University Health Sciences, and their subsidiaries. Employees include faculty, regular full-time, part-time, and PRN staff, house officers, and contract staff. Students include medical students, graduate students within the Medical Center, students of the Nurse Anesthesia Program, student interns, and administrative residents. Trainees refers to postdoctoral program trainees (postdocs). Volunteers refers to all persons performing volunteer work in the Medical Center through the Volunteer Services Department.
Annual Influenza Immunization
All WFUBMC employees, students, trainees, and volunteers must be immunized against influenza each year. Influenza vaccine is provided free of charge to all WFUBMC employees, students, trainees, and volunteers. The annual influenza immunization program is coordinated by WFUBMC Employee Health Services. Applicable individuals who are vaccinated through services other than WFUBMC Employee Health Services, such as a private physician office or public clinic, must provide proof of immunization to Employee Health Services. Acceptable forms of proof are a physician's note or immunization record. WFUBMC Employee Influenza Immunization Policy 09.23.09 1
Employees or volunteers who fail to comply with the requirements of this policy will become ineligible to work at WFUBMC. Trainees, student interns, or administrative residents who fail to comply with the requirements of this policy will become ineligible to continue in their respective training programs at WFUBMC. Medical students, graduate students within the Medical Center, or students of the Nurse Anesthesia Program who fail to comply with the requirements of this policy will be subject to dismissal from school.
WFUBMC Employee Influenza Immunization Policy 09.23.09 3
WFUBMC Employee Influenza Immunization Policy 09.23.09 4
Effective Date: September 23, 2009