The "Mercer University Student Health Form" is required and must be signed by a physician or other health care provider, and stamped with the provider’s name & address.

No other immunization forms or physician records will be accepted. Keep a photocopy of this completed form for your records. Mercer Student Health Center cannot forward a copy of your records to another institution.

Forms and Policies


All students born after 1956 must provide a statement of immunization against Measles, Mumps and Rubella (MMR), giving the month and year of immunization. A statement of "up to date" is not sufficient. Two doses of Measles (Rubeola) vaccine, two doses of Mumps vaccine, and one dose of Rubella are required. You must have been at least 12 months old when the first vaccine dose was received. If a student is unable to provide documented dates of immunization to Measles, Mumps and Rubella, he/she may provide blood test titer results that verify immunity.  If this testing shows no immunity to Measles, Mumps, or Rubella, the student may register following documentation of the first dose of MMR, with the second to follow in 30 days, if required.

Immunizations for the following diseases are recommended, but not mandatory: chickenpox (varicella), hepatitis A, hepatitis B, polio, and tetanus. The most recent tetanus booster should have been within the past 10 years. Immunization against meningococcal meningitis is recommended for college students.

Exemptions from compliance with the immunization policy:

  1. Religious exemption, written on letterhead stationery, signed by a religious official and notarized..
  2. Medical exemption, written on office stationery, signed by a MD (not a relative of the student), and stamped with his/her office stamp.  The letter should state the reason for the exemption, and whether the exemption is temporary or permanent.

Tuberculosis screening (within the past year) is required of all new students. Students at risk for TB will be required to have a PPD skin test (Mantoux). The tine tuberculosis test is not acceptable. Students should be tested regardless of prior BCG vaccination. Any student with a positive skin test will be required to provide a report of a normal chest x-ray (done after the positive PPD) to be eligible to register. Individuals with a positive tuberculosis skin test should be evaluated by a physician.

Do not assume that childhood immunizations are adequate; requirements have changed during the past several years. Medical facilities in the U.S. and in other countries are required to keep records of vaccinations. Additional sources of immunization information include doctors’ offices, health departments, and schools. Students should make copies of the completed health form for their own files, and then mail the original forms. Do not rely on health care providers, family members, or other colleges to mail the forms.