Requirements

*Fall 2020 health clearances required by August 1, 2020.

The State of Hawaii Department of Health (DOH), the Hawai‘i Administrative Rules, Chapter 11-157 requires all students to meet health requirements before they attend any post-secondary institution in the State of Hawai’i. For more information, contact the State of Hawaii Tuberculosis Control Branch at (808) 832-5731 and Immunization Branch at (808) 586-8331.

Certificate of TB (Tuberculosis) examination, MMR (Measles, Mumps, Rubella), Tdap (Tetanus-diphteria-acellular-pertussis), and Varicella (chickenpox) immunization clearances are REQUIRED.

The health clearances must be from a U.S. Licensed Medical Doctor (MD), Advanced Practice Registered Nurse (APRN), or Physician Assistant (PA).

You can download the Health Immunization Clearance Form and take it to your physician for completion.

• TB (Tuberculosis) Clearance TB Clearance obtained within twelve months prior to the start of instruction OR obtained on or after the age sixteen.
• MMR (Measles-Mumps-Rubella) Two doses of Measles, Mumps, Rubella vaccination. Students born prior to 1957 are exempt from the MMR immunization requirement.
• Tdap (Tetanus-diphtheria-acellular-pertussis) One dose of Tdap vaccine.
• Varicella (chickenpox) Two doses of Varicella vaccine. Students born in the United States prior to 1980 are exempt from the Varicella immunization requirement. Students with documented history of Varicella disease, signed by a US licensed physician, APRN or PA, may be substituted for a record of Varicella vaccination.

Health clearances can be obtained from the following locations

• Your private licensed physician
• Hawai‘i State Dept of Health Tuberculosis Program – TB only
• Leeward Community College’s Student Health Center

Uploading Sensitive Information

Please use the UH West O‘ahu Secure File Transfer page to send your Health Clearance form or any document that contains personal and private information.

UH WEST O‘AHU SECURE FILE TRANSFER