Compliance Deadline - March 1, 2008

Immunization Office - Contact Information

Alternative formats available for persons with disabilities

Students born after January 1, 1957 must provide documented proof that they have received two rubeola (measles), two rubella (German measles) and two mumps vaccinations OR two combination MMR (measles, mumps and rubella.)*

Students born before January 1, 1957 must provide documented proof that they have received one rubeola (measles), one rubella (German measles) and one mumps vaccination OR one combination MMR (measles, mumps and rubella.)*

*An alternative option is to provide written evidence of laboratory tests (known as a blood titer tests for immunity) showing immunity to measles, mumps and rubella for those who have previously had each of these diseases.  If you cannot provide proof of immunization or positive blood titer tests, you will have to be re-immunized.

Required Documents

You must download, print and complete forms one (1) and two (2) below and submit them along with your proof of immunization. All three (3) documents (forms one and two and your proof of immunization) must be submitted at the same time in one sealed envelope. Once your documentation is received and the Immunization Office determines you have met all immunization requirements, you will not need to provide this information in future semesters.

Where do I submit completed immunization forms and documentation?

The following Immunization forms are available in Adobe PDF format. You will need to download the Adobe Reader free software if you do not already have it.



 Required Form 1. Auraria Immunization Form (PDF)

 Required Form 2. Meningococcal Disease Information Form (PDF)

 Required Document 3. Proof of Immunization
 (See options below for submitting proof of immunization.)
           
Select only one of the options below for submitting the required Proof of Immunization:

1. Certificate of Immunization (PDF) signed by a physician, nurse or school authority. This form can be taken to a medical provider or agency that has documented records of your immunization history. They will transfer your immunization records to this form. There is no need to print this PDF form if you select to submit your proof of immunization using one of the other options listed below. This form is also used for exemption purposes.*
   *Please note that in the case of a campus closure ordered by the State Health Department (due to an outbreak of disease) students filing exemptions will not be permitted to attend classes or services on campus and may not be reimbursed tuition and fees.
   
   
2. Copy of medical records from a physician which outlines your immunization history. This information is kept by a family physician, pediatrician or State/County immunization clinics where you received health care.
   
   
3. Proof of personal history of measles, mumps and rubella which can clinically be determined through a blood titer test which assesses immunity. If you believe you had each of these diseases, you physician can order blood tests known as blood titers. Only a positive result for all three (3) diseases (measles, mumps and rubella) will be accepted as proof of immunity.
   Consult your physician or a medical representative from the Auraria Immunization clinic for further guidance.
   
   
4. Official International "Yellow" Certificate of Immunization: This document is provided by travel clinics, State and County immunization clinics and often carried by Military members from the Department of Defense. This certificate is yellow and may include information such as blood type and allergies. This is often required to enter foreign countries.
   
   
5. Official signed copy of High School Immunization Record: Any student who has attended elementary or secondary education in the state of Colorado is required to provide the public school system with evidence of Childhood immunizations. Historically, vaccine records were kept on cards and maintained by a school medical official. More recently, some schools have transcribed immunization records into a school data base and are reported with a student's academic record. An individual may request a copy of their official transcript and immunization record from the high school they attended. Students who attended public school systems in other states are encouraged to inquire about personal records from the school they attended.

The Meningococcal Disease Information Requirement

State Law requires all post secondary education institutions to provide information regarding Meningococcal Disease to students. There is scientific evidence that college students living in dormitory facilities (communal environments) or congregate settings are at a higher risk of contracting this serious disease. There is an immunization available that can prevent against four types of Meningococcal disease. Although the State requirement is only to inform students about Meningococcal disease and the associated vaccine, the Health Center at Auraria highly recommends students at high risk consider being immunized against this disease. This immunization is available for $85.00 at the Auraria Immunization office or you may contact your private physician for more information.  All students must sign and submit the meningococcal disease information sheet acknowledging that they have received this critical information. 

Adult Shot Record and Immunization Recommendations

Although documentation of MMR is the only immunization requirement to attend college, it is requested that you provide dates of additional immunizations with the proof of immunization that you file.  The Centers for Disease Control and Prevention (CDC) reviews and recommends adult immunizations annually and you may not have protection against diseases that are now preventable through vaccination.  More information is available at the Auraria Immunization office regarding Hepatitis A & B, Tetanus Diphtheria & Pertussis (TDaP), Polio (IPV), Meningitis, Varicella (Chickenpox) and HPV (Gardasil vaccine against cervical cancer).  You may also go to the CDC web site at  http://www.cdc.gov.

Cost of Immunizations and Where to Obtain Immunization Services

Students can obtain immunizations from their community medical provider or from the Health Center at Auraria’s Immunization Office. Community prices for MMR vaccine and blood titer tests for immunity may vary widely from one office to the next.

The Health Center at Auraria has established special immunization pricing below community standards in an effort to control costs to students needing immunization services. The cost of one MMR shot is $14.00 (or $28.00 for those needing two shots.) The cost of a blood titer test for immunity is $25.00 per disease (or $75.00 for measles, mumps rubella titers). There are no additional charges for administering shots or drawing blood and no office visit charge will be assessed for routine immunization services. Please be aware that when utilizing community medical providers these additional charges are often assessed, in addition to the cost of the vaccine or blood draw.    

Optional Free HIV Testing is available

Optional confidential HIV testing is free of charge at the Health Center at Auraria. HIV testing is done M-F upon request during normal business hours.

PPD (Tuberculosis) Testing is available at the Immunization office for $10.00. PPD testing is done on Monday, Tuesday and Wednesday 8:00 a.m. - 4:30 p.m. and on Friday 8:00 a.m. - 2:30 p.m.

Participation in academic programs such as Teacher Education or Nursing may require students to be tested for Latent Tuberculosis. This test (PPD) requires students to report for test placement on their forearm and to return in 48 hours to have a medical professional read and record the result of the test. Once this is completed the student will receive a result document which can be submitted to their program.

Auraria Immunization Office Location and Hours of Operation

The Immunization Office is located at the Health Center at Auraria on the Auraria Campus, Plaza Building, Suite 149. Immunizations are offered Monday, Tuesday, Wednesday and Thursday 8:00 a.m. until 5:00 p.m. and Friday 8:00 a.m. to 3 p.m. Last immunization is given 30 minutes before closing.
For more information call 303-352-4186.

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Website updated: 02/06/08