Graduate Division-New Student Immunization Requirements

Graduate students new to UCSF are required to meet immunization and TB screening requirements in accordance with the UC system-wide Immunization Policy.

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Gather documentation of immunizations and titers.

Read the document “Immunization Requirements for Graduate Academic Students”. The form describes your requirements and how to meet them. You will need to collect records of past immunizations and titers to submit online. If you received these services outside the US, please leave time for receiving the documentation.


Visit your healthcare provider to obtain missing immunizations and/or titers.

If you have not been immunized against measles/mumps/rubella, varicella, or Tdap you must obtain vaccination. If you answer positively to any questions on your TB Risk Screen questionnaire, you will also need to submit TB screening information which may require updated testing.


Complete the TB Risk Screening Questionnaire.

Log on to and complete the TB Risk Screening Questionnaire. A positive screen will require you to submit additional TB screening data.


Enter your immunization and titer data online.

Once you have your immunization and/or titer records in hand, log on to to enter the dates of your vaccinations and/or titers and upload images of your vaccine records and titer documentation (titers are documented by a lab report).

Do not upload documents to the site until you are ready to submit your dates of service.

You should take a photo of your immunization records with your phone or camera and load that photo (or photos) into the MyHealthRecord portal as verifying documentation. DO NOT SUBMIT your immunization dates without the photo of the records which serves as verification of your immunizations and/or titers.

Please use Chrome of Firefox browsers to enter your data. The immunization portal will accept your verification documentation in the following file formats: PNG, JPG, or GIF.

You will use your UCSF MyAccess ID and password to log on to

If you do not have a MyAccess username and password, you can register for one using your UCSF email address by visiting the MyAccess site. If you have problems with logging in, please call UCSF ITS Help Desk at 415-514-4100, option 2.

Once logged on to you will see the following two forms – BOTH must be completed:

  • Immunizations Data Submission: This form allows you to submit your vaccine and titer data. Don’t forget to attach the back-up documentation before clicking “submit”.
  • Tuberculosis Screening Questionnaire: This form will ask you a series of questions which will indicate if you will need any follow-up TB screening once you arrive on campus.

You will not need to fill in ALL sections of this online form, just the sections that correspond to the data you have to submit. For example: If you have a positive varicella titer, but no documentation of the varicella immunizations - you will enter the titer data, but no varicella vaccine dates. If you have both, then enter both.


Enter vaccine dates for other “recommended” immunizations.

There is a list of vaccines that are not REQUIRED by UCSF, but it is still RECOMMENDED you receive vaccination. If you have already received or choose to receive any of these vaccinations, please submit the information the same as you would for a required vaccine.

Completing your requirements

If you have not been vaccinated or are unable to obtain services prior to coming to campus, you may pay to receive the services at SHCS. Prices are listed on the SHCS website under “students w/out SHIP.

What are the requirements?

All requirements must be met before you register for classes, please leave time to complete requirements. List of Requirements

Additional Resources

Click Below for Training Video


Q: What are titers?

A: A titer is a blood test that indicates if you have the antibody in your bloodstream to the particular disease for which you are being screened. A positive titer indicates immunity to the disease. A negative or equivocal titer means you are not likely immune and might need to receive additional vaccination.

Q: What do I do if my titer result is negative?

A: If your titer result is negative, a clinician should review your immunization history. It’s possible if you were immunized several years ago you may need a booster immunization. You should also check your immunization documentation to confirm that you completed the immunization series. If you didn’t receive the full vaccine series, you might not be immune and need to finish the series.

Measles, Mumps, Rubella (MMR) is a standard childhood immunization series. If you have a negative measles, mumps, or rubella titer it is likely you will need a booster. For example: If you had a negative Measles titer on 1/1/2016 you should receive an MMR booster which is one dose of MMR vaccine. If the booster was administered on 1/3/2016 you can re-titer for measles on 2/3/2016 (4 weeks post-immunization). If you have documentation of at least three MMR vaccine doses and the most recent titer result (obtained at least 4 weeks after the 3rd vaccine) is negative a fourth booster vaccine would not be recommended. Please contact Student Health with any questions.

Q: When should I obtain my vaccine titer?

A: Titers can be drawn 4 weeks after completing a vaccine series. If you have no previous records of positive titers and you completed your immunization series at least 4 weeks prior, you may obtain a titer.

Q: The instructions say I need a TB test within the 3 months before school starts. What date exactly represents “the 3 months preceding entry into school”?

A: The 3-month window is based on your date of first attendance (start of the first term in which you will enroll) OR the due date set by your school.

Q: Why can’t I get a TB skin test after a live virus vaccine (MMR, varicella)?

A: Vaccinations with live viruses may interfere with TB test reactions (possibly resulting in a false positive TB skin test). For persons scheduled to receive a TB skin test, testing should be done either on the same day as vaccination with live-virus vaccine or 4-6 weeks after the administration of the live-virus vaccine.

Q: How do I know if I need to get a chest x-ray and when does it need to be done?

A: You need a chest x-ray with three months of entering UCSF if you:

Have a history of a positive PPD skin test (and have not taken BCG) or have a positive Quantiferon test or Tspot test


Have not received treatment of Rifampin, Isoniazid  or a combination of Isoniazid and Rifampin.

If you meet these guidelines, a chest x-ray is needed no earlier than 3 month prior to the start of your program.

Q: What testing do I do if I received BCG vaccine and always have a positive reaction to TB skin tests?

A: : If you have had a positive reaction to TB skin tests in the past AND have received the BCG vaccine, it is highly recommended you submit a recent QuantiFERON Test. If this test and the TB sign and symptom questions you complete on are both negative, you can avoid the chest x-ray requirement.

Q: What if I have a medical condition that interferes with my ability to meet the requirements?

A: If you have a medical condition that is of concern related to the requirements, please call Student Health and Counseling Services at (415) 476-1281 as soon as possible.

Q: What if I don’t have somewhere to go to obtain an immunization or TB screening?

A: SHCS can perform this service for you on a fee-for-service basis if you are in San Francisco. Simply come to SHCS Mission Bay or Parnassus (not during the lunch hour) and request services. SHCS will not bill your insurance. If you wish to use your insurance, go to a network provider. Be careful not to wait until the last minute as the process can take a while. Your local public health department is another low cost option.

Q: Why isn’t my hold released? I’ve completed and submitted all my immunization/TB data.

A: You should allow 1 week after entering your data into the portal to verify your hold has been released. If after one week you still have a hold, go to – Immunization section to view which element is still out of compliance.