Health Services Immunization and Form Requirements

WHAT WHO WHEN SUBMIT TO
First MMR after one (1) year of age All entering degree-seeking students Prior to the end of the first semester of on-campus attendance Submit via e-form (see instructions below)
Second MMR at least twenty eight (28) days after date of first MMR All entering degree-seeking students Prior to the end of the first semester of on-campus attendance Submit via e-form (see instructions below)
TB skin test (Mantoux) or IGRA blood test (Quantiferon Gold or T-Spot TB) International students only Prior to checking into the residence halls or first day of attendance in class (whichever is earlier) Submit via e-form (see instructions below)
Counseling Intake Form All students seeking counseling services Before your first visit with a CSC Licensed Student Counselor The CSC Licensed Student Counselor you see
Informed Consent Form All students seeking counseling services Before your first visit with a CSC Licensed Student Counselor The CSC Licensed Student Counselor you see
Consent to Treat a Minor Form (PDF) Any student under the age of 19 Before your first visit with the CSC Campus Clinic Nurse nurse@csc.edu
See our Immunization Instructions for tips to submit your immunization records via your MyCSC account.

Health Services Form Exemptions

CSC offers a medical, religious, and temporary exemption from immunization requirements. For more information regarding immunization exemptions, please refer to the Immunization Policy. The CSC Immunization Wavier can be downloaded here and is available within the immunization e-form on your MyCSC account."

Health Services Immunization Recommendations

Other immunizations recommended for students but not required for admission:

  • Hepatitis B vaccination (series of three (3) shots)
  • Varicella vaccination if no history of chicken pox (series of two (2) shots)
  • Influenza vaccination (yearly) offered through CSC Health Services at a reduced cost each fall
  • Meningococcal vaccination available through either CSC Health Services or Chadron Medical Clinic
  • Human Papillomavirus (HPV) vaccination (a series of three (3) shots)
  • Tetanus Diphtheria booster every ten (10) years after initial series of three (3) DPT vaccinations
    • One (1) adult booster should also contain pertussis

Tips about Immunization Records

  • Where to search for your immunization records:
    • Ask your parents or guardian
    • Ask your most recent high school, middle school, or college.
    • Ask your medical provider or vaccination clinics
    • Ask your VA or your branch of the military
  • CSC Immunization Records
    • Digital copies of immunization records are kept for 5 years after the last semester of enrollment
    • Immunizations are also entered into the Nebraska Immunization Database

Have a question about immunization requirements and compliance? Email cschealthrequirements@csc.edu or call (308) 432-6232.