Immunization Lang Wellness Center Health

International Student Immunization Requirements

Lang Wellness Center
Rockford University requires all international students to submit up to date immunizations.

Due Date:

Immunization records are due upon arrival

Failure to provide the required documentation by the due date will result in a registration hold. You will be notified through your Rockford University email if any documentation or information is incomplete.
Full Name*

First NameMiddle NameLast Name
Rockford University ID Number
e.g., 123456
Year and Semester Entering RU*
Date of Birth*

MonthDayYear
Date
Gender*
Citizenship*
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Rockford University Email*
example@Rockford.edu
U.S. Student Phone Number

Area CodePhone Number
Home Country Student Phone Number*

Country CodeArea CodePhone Number
Have you previously attended Rockford University?*

YesNo
When did you attend? *
Did you transfer to Rockford University?*

YesNo
What university did you transfer from?

You can submit official documents from your previous university or college, immunizations from your home country (must be in English), or your health care provider. Please locate these records before arriving in the United States and contact Lang Wellness Center/Rockford University if you have any questions (815-226-4083/healthcenter@rockford.edu).
STUDENT IMMUNIZATION REQUIREMENTS
Rockford University requires all international students to submit the following immunization records:
- Three (3) vaccines that contain Tetanus/Diphtheria/Pertussis, one of which must be a Tdap vaccine. The last dose of vaccine must be within ten years. Vaccines must be at appropriate intervals (#1 and #2 at least 28 days apart, #3 no less than 6 months after #2). Tetanus Toxoid (TT, or Tetanus) is not acceptable.
- Two (2) Measles, Mumps, Rubella (MMR) vaccines administered after the first birthday and at least 28 days apart. Students who are unable to provide proof of vaccinations may provide serologic evidence (IGG antibody titres) of measles, mumps, rubella. Please attach lab report.
- Newly admitted students under the age of 22 are required to show proof of One (1)Meningococcal conjugate vaccine administered on or after the age of 16. Non conjugate vaccinations are not acceptable. The Illinois Department of Public Health has made a meningococcal disease brochure available for college students and their parents.
Meningococcal Disease Brochure:What Parents and Students Need to Know

*Rockford University will be following the CDC guidelines along with our local health department's recommendations for COVID-19.
Please contact Lang Wellness Center at 815-226-4083 for more information about exemptions.
Please Upload your Immunization Records*

Cancelof
Lang Wellness Center

5050 East State Street

Rockford, IL 61108

phone: 815-226-4083 fax:815-226-3335

HealthCenter@Rockford.edu
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International Student Immunization Requirements

STUDENT IMMUNIZATION REQUIREMENTS