Student Health Services

Student Health Records and Immunizations

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 Employee Health Services prior to matriculation.

Mandatory Immunizations

North Carolina State Law HB 882, effective July 1, 1986, requires 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 School of Medicine’s requirements exceed the state laws because it follows the guidelines provided by the Immunizations 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].

Diphtheria/Pertussis/Tetanus - Tdap is now preferred

  • Tetanus/Diphtheria (TD or Td or Tdap) within past 10 years

Rubeola (Measles)

  • 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 rubella vaccine or one MMR 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).

Hepatitis B

  • The series of three shots are required for medical and PA students. All or part of the series may be received outside of Wake Forest School of Medicine, but documentation must be given to Employee Health. A blood titer determining immunity is also required after the series is finished. Students will be billed for the vaccine and post-vaccine titer through the cashier’s office if completed in Employee Health after matriculation.


  • Students are required to receive the influenza vaccine annually.

Mandatory Screening


  • A TST is required within 12 months and 60 days prior to the matriculation date. Tine tests are NOT acceptable.
  • A TST is not required if documentation of a positive TST is provided and includes millimeter measurement (m). 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 pm and on weekends and holidays, students should call 336-716-4801 and follow the prompts.


Student & Program Payment Responsibility

Student Responsibility for PaymentProgram Responsibility for PaymentSpecial circumstances 
  • Immunizations required at matriculation
  • Immunizations required at elective away rotations
  • Annual required institutional immunizations (ex. Flu)
  • Required screenings for clinical workers (ex. TB)
  • Required immunizations for a required clinical experience (ex. If Novant requires something beyond the WFBH requirements …this includes required drug screening panels)
  • Medical Education Administration will coordinate among programs and EHS for process – Examples include: institution recommendation for Tdap, H1B1.
Billed to individual Student Financials Accounts (sent to Angie Adams in AP)Billed to programs (CRNA, MD, Grad, PA) 


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Last Updated: 11-20-2015
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Disclaimer: The information on this website is for general informational purposes only and SHOULD NOT be relied upon as a substitute for sound professional medical advice, evaluation or care from your physician or other qualified health care provider.