email: Immunizations@duke.edu | fax: 1-919-681-7386 | studentaffairs.duke.edu/studenthealth/immunization-compliance
CLICK ON THE LINK BELOW TO DOWNLOAD AND COMPLETE THE IMMUNIZATION REQUIREMENT FORM FOR UNDERGRADUATES
North Carolina state law (General Statutes §130A 152–157) requires that all students entering college present a certificate of immunization that documents that the student has received all immunizations required by law. While your state or country of origin may have different immunization requirements, you must comply with North Carolina laws and Duke requirements.
MANDATORY Steps for Immunization Compliance:
STEP 2: You will receive an email after completing this questionnaire. Print the PDF and follow the instructions provided.
STEP 3: Have a doctor’s office, clinic or health department complete the Mandatory Immunization Requirements Form. FORMS CANNOT BE SIGNED BY FAMILY MEMBERS.
STEP 4: Click on the Immunizations tab in the New Student Checklist or go to studentaffairs.duke.edu/studenthealth, click on the Immunization Compliance tab, and log into the “Student Health Gateway.” Click the “Forms” tab and complete the “Immunizations” page in EMF Forms.
STEP 5: Submit your signed Mandatory Immunization Form and your TB Screening Questionnaire (along with any additional testing or documents if applicable) via one of the methods below:
Email: Immunizations@duke.edu (preferred method)
You MUST enter the information online before you fax or email your completed forms to avoid delays processing your information.
Keep a copy of all forms and correspondence for your records and bring them with you. This will help resolve any problems that may arise.
Forms must be signed by your clinician and received by Duke Student Health by June 15.
You will not receive your room key on Move-In Day if requirements are not met. Failure to meet requirements may lead to withdrawal from classes and limited access to Duke resources.
You may obtain any needed immunizations from your private physician, local health department or Duke Student Health Services.
If you are under the age of 18, you will need your parent or legal guardian to sign consent for treatment. You can find this document at: studentaffairs.duke.edu/ studenthealth/forms-policies Please submit to: firstname.lastname@example.org
REGISTER FOR YOUR MYCHART ACCOUNT AFTER JULY 11
Our secure online portal gives you:
• Access to Student Health Appointments
• Access to your medical health record
• Fast communication with your care team
Sign-up prior to arrival on campus! Go to https://www.dukemychart.org/home/signup to sign-up!
MONITOR YOUR DUKE EMAIL!
Communications regarding your compliance status can be found in the Student Health Gateway. Instructions for access to the Gateway will be sent through your Duke-secured email. Questions? Contact us at Immunizations@duke.edu