Vaccine Policy All new students entering Cardinal Stritch University should complete an Immunization and Health History Form prior to the beginning of their first semester. The information provided is confidential and will be retained by Student Health Center as part
All new students entering Cardinal Stritch University should complete an
Immunization and Health History Form prior to the beginning of their first
semester. The information provided is confidential and will be retained by
Student Health Center as part of the student’s medical record.
living in the residence halls should also complete the Meningococcal Meningitis
and Hepatitis B Vaccine Requirement form.
Students should use this form to comply with Wisconsin law [SS 36.25(46)] and
with Title IV, the Higher Education Opportunity Act of 2008 , which requires
students who live in a residence hall to report whether or not they have
received vaccinations against meningococcal disease and hepatitis B. If a
student has been vaccinated, he/she must provide the dates of such vaccinations.
The form must be signed by a parent or legal guardian if the student is under
the age of eighteen at the time of occupancy.
- Tetanus-Diphtheria vaccine within the past 10 years.
- Completion of the Polio series.
- Evidence of the Varicella Vaccine or the chickenpox virus. Immune titers are
- Two doses of MMR (The first dose of MMR, measles, mumps, or rubella must
have been given after the 1st birthday. The two doses MMR or two same components
must be given at least 28 days apart.). Immune titers are also acceptable.
- Complete the Tuberculosis screening questionnaire.
Students living in the resident hall are required to complete the health
history form and must have documentation of the required immunizations prior to
moving into the residence hall.
TB testing is required for students
considered to be in high-risk groups. Please refer to the health history form
for a listing of who are considered high risk.
All nursing students,
international students, and those participating in intercollegiate sports and
International Programs must have a physical examination by a licensed provider.
Immunization and Health History forms are available online or
may be obtained in the Student Health Center.