UCSF Professional Students - New Student Immunization Requirements

Students with patient care contact: Dental, Genetic Counseling, Medical, Nursing, Pharmacy, Physical Therapy


Step 1: Review and understand the Professional Student Immunization Requirements.

  • Gather your historical immunization documentation (vaccination cards or historic medical records showing dates of administration).
  • Obtain healthcare services (titers or vaccination) for elements you do not have records of (this may require a visit to your healthcare provider).
  • Hard copy documentation is mandatory for all requirements.

Step 2: Enter COVID-19 Vaccine information into UCSF Occupational Health Services (OHS) Portal.

  • All new UCSF students must enter their initial COVID-19 vaccination series and booster vaccination through the OHS Portal.
  • The OHS portal is the central repository for the entire UCSF community COVID-19 vaccination data and used for compliance and reporting purposes.
  • Upload your COVID-19 records via the Occupational Health Services Portal. You must be logged into a UCSF network or sign on to Pulse Secure VPN. Find out how to access the VPN.  
  • COVID-19 records submitted via the OHS Portal will transmit to your Student Health electronic medical record via a nightly update.

Step 3: Enter your immunization, titer, and TB screening dates AND upload your hard-copy documentation in the MyHealthRecord Student Portal.

  • Click on Medical Clearances in the left navigation bar.
  • For each required element click on the “Update” button and enter dates and vaccine that was administered.
  • You are required to enter dates for all requirements and upload an image of all hard copy records.
  • Your COVID-19 records submitted via the OHS Portal (submitted in STEP 2 above) will transmit to your Student Health electronic medical record via a nightly update.
  • Vaccine, titer, and TB screening documents are uploaded via the “Verification Docs Upload” section.
  • The dates and test results you enter become part of your permanent medical chart at UCSF Student Health. Data entry errors are the most common cause of health hold clearance delays. PLEASE double-check the accuracy of your entries.
  • File types accepted for records upload include: PNG, PDF, JPG, JPEG, GIF
  • If you do not have a scanner, you can use your phone to take a picture of your documents.
  • Ensure that the images of your hard copy documents are:
  • Are legible (including procedure name, dates, results, and identifying information)
  • Include your name on every page of documentation
  • Include the name of the provider of care for that service
  • Keep a copy of all records for your personal use as you will need to produce them periodically to clinical sites.
  • Health holds cannot be cleared until you have manually entered your dates, test results and supporting documentation into the portal. Uploaded documents submitted without entered dates/results will not be reviewed by the nursing staff until you have manually entered your dates/results. Any file "SUBMITTED" with absent or incomplete data will result in delays in health hold clearance which may lead to a "Study List Late Fee" being assessed.
  • EXCEPTION: If you have met all requirements but have to wait more than 4 weeks to get a titer AND that date falls after the start of your program, please press submit so the nurse can verify the records you have entered and submitted.

Step 4: Check that your health hold has cleared.

  • All new professional students have a health hold in the SAA Student Portal until they meet their immunization and TB screening requirements.
  • Once you successfully submit dates and supporting documentation for ALL of your requirements and SMHW verifies the documentation, your hold will be cleared (review time after submission is approximately 1 week).
  • To check if your health hold has cleared you can visit My Health tab of the SAA Student Portal or the Immunizations section of https://MyHealthRecord.ucsf.edu for a more detailed view
  • SMHW will send you a secure message through the "Messages" section of this portal if the data is insufficient in some way.

Step 5: Castle Branch (School of Nursing Students Only)

  • Once your UCSF health requirements have been completed, print a copy of the "Immunizations" section of this portal to upload to your Castle Branch profile. Castle Branch is the 3rd party supporting the UCSF School of Nursing in the clinical rotation site clearance process.

Have Questions?

Use the MyHealthRecord portal - “Messages” section to message someone directly about your new student immunization requirement.


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, equivocal or indeterminate means you are not likely immune and might need to receive additional vaccination.

Q: Do I have to have my hard copy documentation ready at the time I enter my immunization and TB screening dates?

A: YES! SMHW staff will NOT be able to verify and clear your health hold unless they have both the uploaded hard-copy documentation and you have entered your dates of service into the form.

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

A: If your titer result is negative, equivocal or indeterminate, a clinician should review your immunization history. 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 1/1/2019 you should receive an MMR booster which is one dose of MMR vaccine. If the booster was administered on 1/3/2019 you can re-titer for measles on 2/3/2019 (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: Why can’t I just submit records of vaccination? Why are titers required?

A: When students embark on clinical rotations or internships (as well as residencies post-graduation) the healthcare organizations where they work almost exclusively require titers. As that is the standard to which students are being held, it is easier for students to meet the requirement upfront as opposed to having another hurdle to clear later in their academic career.

Q: What is a two-step TB skin test and why do I need one?

A: Two-step testing is two Tuberculosis skin tests placed at least 1 week apart. Two-step testing is necessary for the initial skin testing of adults who are going to be retested periodically, such as health care workers. This two-step approach can reduce the likelihood that a boosted reaction to a subsequent TB test will be misinterpreted as a recent infection. Click here for more information from the CDC on boosted reactions and two-step testing.

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: Since I have not had annual TB screening, I need to get a two-step TB test. But I am confused as to when I need to get the second test. Is it 7 days after the first TB placement or after the reading?

A: If you have not had annual TB screening, you need to get a two-step test. The second test in a two-step test needs to be placed 7 days after the first test has been placed.

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 https://MyHealthRecord.ucsf.edu. are both negative, you can avoid the chest x-ray requirement.

Q: I have received Hepatitis B in the past, but I can’t find records of my immunization dates. How can I fulfill this requirement?

A: If you lack Hepatitis B vaccination records, then a QUANTITATIVE Hepatitis B Surface Antibody blood test result may satisfy your program's health requirement.  PLEASE NOTE: some Hepatitis B Surface Antibody tests are considered qualitative, which do not satisfy the requirement. Failing to submit results of QUANTITATIVE Hepatitis B Surface Antibody test may cause delays in satisfying requirement and registering for classes.

Q: What happens if I do not submit my information by the time I try to file my study list?

A: You must complete and submit documentation of your health requirements and allow time for Student Health to process the information before you can file your study list. You will not be able to file your study list until all requirements are met.

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 Mental Health and Wellbeing 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: SMHW can perform this service for you on a fee-for-service basis if you are in San Francisco. Simply come to SMHW Mission Bay or Parnassus (not during the lunch hour) and request services. SMHW 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: Will any of my TB or immunization data impact my admissions status?

A: No! This data will not be reviewed by your school. SMHW only reports if you are in compliance or out of compliance. Medical history, such as being a chronic Hepatitis B carrier, does not impact your ability to participate in clinical rotations.

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 https://MyHealthRecord.ucsf.edu – Immunization section to view which element is still out of compliance.