• Purpose
• Guiding Principles
• Scope
• Policy and Procedures
  Health and Immunization Requirements
• Health History and Immunization Form for Incoming Students
• Required Immunization
• Clinical Students
• Vaccination Waiver

1. All incoming Doctor of Dental Surgery students must complete a Student Health Clearance Certificate form from a healthcare provider before matriculation and clinical clerkship. Ensure that the healthcare provider signs the form and then return the form to the Office of Admissions before matriculation. All documents are to be emailed to info@nusom.org.
2. To ensure on-time registration, students must complete all necessary vaccination testing and submit their vaccination history and documentation before arriving at campus.
3. Students can only register or participate in clinical activities once the Health Clearance Certificate form is completed and on file. Students re-enrolling after a lapse in attendance of one year or more or who have been readmitted into the program must submit an updated form.

All students must submit the Health Clearance Certificate form as part of their application process to the program. The Admissions Committee reviews this information, and the Office of the Registrar maintains all records. All medical information is strictly confidential and cannot be disclosed without the student’s authorization except in medical emergencies.

LINK: NUSOD Health Clearance Certificate Form

Students who require accommodations for a diagnosed medical condition should contact the Office of the Dean of Student Affairs.

1. Mumps, Measles and Rubella (MMR):
   • All students born after January 1st, 1957, must provide evidence of immunization against Mumps, Measles (Rubeola), and Rubella (German Measles). Such evidence can be provided through vaccination against all three diseases with a combined vaccine (MMR) or individual vaccinations against each disease. Alternatively, students can show laboratory evidence of immunity to all three diseases
   • A record of 2 MMR vaccines
   • Dose one (1) – at twelve (12) months of age or older
   • Dose two (2) – at least one month after dose one (1)
   • Positive Antibody titer for immunity to Mumps, Measles and Rubella
   • The presence of a medical history of disease alone is not acceptable
   • A copy of the lab report must be attached to this form.
2. Hepatitis B (HepB):
   • All students must provide evidence of immunization against Hepatitis B. Such evidence can be provided through vaccination against Hepatitis B with a combined vaccine Hepatitis A and Hepatitis B vaccine (HepA-HepB) or a Single Antigen Hepatitis B vaccine
   • A record of Single Antigen Hepatitis B vaccine series three (3) doses in total
   • Dose one (1)
   • Dose two (2) - at least (one) 1 month after dose one (1)
   • Dose three (3) - Six (6) months after dose one (1)
   • If the vaccination series is complete, a Hepatitis B Surface Antibody (HBsAb) titer must be performed at least four (4) weeks after the final dose
   • If the HepBsAb titer is (<10 IU/ML) negative, please obtain a booster dose
   • If the HepBsAb titer is low or not strongly positive and HepBcAb and HepBsAg are both negative, then (re)vaccination against hepatitis B is suggested.
   • If the HepBsAb, HepBcAb, and HepBsAg are all negative, then (re)vaccination against hepatitis B is mandatory
   • A copy of the lab report must be attached to this form.
3. Poliomyelitis (IPV):
   • Two (2) doses of IPV or
   • One (1) dose of adult IPV booster if received oral polio vaccine as a child.
4. Tetanus/Diphtheria/Acellular Pertussis (Tdap or Td):
   
   • One (1) dose of adult Tdap (Tetanus, diphtheria and acellular pertussis (whooping cough) within ten (10) years
   • If the last Tdap was more than ten (10) years ago, a Tetanus-Diphtheria (Td) booster dose is required.
5. Tuberculosis (TB):
   • Test for Tuberculosis is required before enrollment
   • Documentation of having received the Bacille Calmette-Guérin (BCG) vaccine does not preclude the need to test for Tuberculosis (TB)
   • A 2-StepTuberculin Skin Test (TST) or MANTOUX skin test before the beginning of classes
   • Positive PPD is required to have a negative chest X-ray
   • The health provider’s report stating that the student does not have a communicable disease if the student has a positive test result.
   • The health provider’s report must accompany the TB test report and be attached to this form.
6. Varicella (VAR):
   • Two (2) doses of varicella (Chickenpox) vaccine, at least one (1) month apart or
   • A positive serological test for immunity to Varicella (chickenpox)
   • The presence of a medical history of disease alone is not acceptable.
   • A copy of the lab report must be attached to this form.
7. Novel coronavirus disease 2019 (COVID-19)
   • Documentation of having received COVID-19 vaccination
   • Two (2) doses given at least three (3) weeks apart of Pfizer-BioNTech/ Oxford-AstraZeneca/Moderna, Sinopharm-BIBB/ CoronaVac or
   • One (1) dose of Johnson & Johnson
   • A copy of your COVID-19 vaccination record must be attached to this form.
8. Influenza:
   • One (1) dose of Annual influenza vaccination
9. Hepatitis C (HepC):
   • Test for Hepatitis C Antibody is required
   • A copy of the lab report must be attached to this form.