The Student Health Services Office is committed to assisting you however we can through acute/routine care, allergy injections, immunization updates, referrals and education.  As part of that process, we need you to review the following information:

PRE-ENTRANCE MEDICAL REQUIREMENTS

Please complete and return the Health Examination Form to the Student Health Services Office (Gymnasium Building - G209).

Health Examination Form [pdf]

1.    IMMUNIZATIONS REQUIREMENTS:

       The pre-entrance immunization requirements at Worcester
       State University are based on the Massachusetts Law
       105CMR 220.000. Each full-time undergraduate (12 credits)
       and graduate student (9 credits), and all full and part-time
       students in health sciences programs involving patient
       contact (Occupational Therapy, Nursing, and
       Communication Sciences and Disorders) and all
       students attending Worcester State University on a
       student visa (regardless of age) must present evidence
       that they are adequately immunized in order to
       register for classes. To fulfill this requirement,
       you must submit documented evidence of 
       immunizations as listed below. Copies of
       immunization records will be accepted. If you cannot
       produce these records, you must be revaccinated, or
       provide serological evidence of immunity.

      PLEASE NOTE THE FOLLOWING:

1)     Tetanus/Diphtheria (TD):

     A booster of TD Toxoid for adult use is required within 
     the last 10 years.

2)    MMR (measles, mumps and rubella)

               immunization with 2 doses of live vaccine given 
               at or after 12 months of age and a second 
               injection given at least one month apart from first 
               immunization

                    or

        Measles (Rubeola):

             serological evidence of immunity (rubeola titre)

       Mumps:

 serological evidence of immunity (mumps titre)

                     Rubella:

 serological evidence of immunity (rubella titre)

3)   Hepatitis B:

      All full-time undergraduate and graduate students and
      all part-time Nursing, OT and Communication
      Disorders students will be required to be vaccinated
      with 3 doses of Hepatitis B Vaccine.

4)     Meningitis:

     All full-time resident students will require immunization 
     with meningococcal vaccine or sign the enclosed
     waiver stating that you have received and reviewed 
     the information regarding meningococcal 
     disease/vaccination and you wish to decline the 
     immunization.                                

5)     Mantoux (PPD):

     TB test required for students who have positive
     responses to the questions in the tuberculosis 
     screening section of the enclosed Health Form.

 
Varicella: Worcester State University recommends that all college students without history of having the disease chickenpox and with a negative antibody titre, receive 2 doses of varicella vaccine one month apart.

2.   MEDICAL HISTORY AND PHYSICAL EXAMINATION 
      REQUIREMENTS:

      A physical examination, by a primary care provider, 
      completed within the 14 months prior to the first day of 
      classes is required to be on file for all full-time
      undergraduate and graduate students. It is expected 
      that the student will complete demographic information, 
      health history and health insurance information. 
      Completed health forms from a student’s previous college 
      are acceptable.

3.   HEALTH INSURANCE REQUIREMENTS:

      The Health Insurance Requirement at Worcester State 
      University is based on the Massachusetts General Law 
      Chapter 15A, Section 18 which requires all undergraduate 
      students registered for nine (9) or more credits and all 
      graduate students registered for seven (7) or more credits 
      to participate in a health insurance plan. To fulfill this 
      requirement you:

1)     Will automatically be billed and covered by the
Massachusetts State System Plan designed for state college students or

2)   If already covered by a comparable or other health insurance

Rev. 2007

At the time of fall and spring registration, all students will be enrolled in and charged for the Worcester State University Student Health Insurance Program. Students who do not wish to participate in the University’s plan must return the completed waiver request form that is enclosed with their bill. They may also waive the insurance on-line at www.universityhealthplans.com. Both the completed waiver form and proof of insurance coverage should be returned with payment of their bill to the Bursar’s Office. Students who enroll only in summer session classes are not required to participate.

If you have any questions, or need assistance regarding these matters, please feel free to contact our office at 508 -929-8875. The office has limited summer hours, however, we will return voice mail messages as soon as possible.

Sincerely,

Peg Gentile

Student Health Services

Worcester State College

pgentile@worcester.edu

Phone:  508-929-8875

Fax:  508-929-8075