Immunization and Health Requirements

How to meet your health onboarding requirements

• Review the State of CT mandatory College Immunization Requirements
• Log into my.fairfield.edu using your Fairfield University Account username and password. Search for “Immunizations” using the search bar at the top, and click on the "Health Forms and Immunization Requirements for All Students” task to launch Medicat.
• Complete your required online forms. The online forms are available in Medicat, your secure patient portal.
• The required online forms include:
  • Consent for Routine Care at the Student Health Center Form
  • Tuberculosis (TB) Risk Screening Questionnaire
  • Full-Time Undergraduate Student Health History Form
• The required downloadable form(s), to be completed by your healthcare provider, include:
  • Full-Time Undergraduate Immunization Form
• Once completed, please upload the required downloadable forms in Medicat under Uploads. For an official copy of your immunizations or acceptable proof of immunity (select “List of Immunizations Provided by Student”)
• For a copy of your most recent physical examination (select “Student Physical Form Provided by Student”). A physical examination is recommended, but not required.

Student Health Portal

How to meet your health onboarding requirements

• Review the State of CT mandatory College Immunization Requirements
• Log into my.fairfield.edu using your Fairfield University Account username and password. Search for “Immunizations” using the search bar at the top, and click on the "Health Forms and Immunization Requirements for All Students” task to launch Medicat.
• Complete your required online forms. The online forms are available in Medicat, your secure patient portal.
• The required online forms include:
  • Tuberculosis (TB) Risk Screening Questions
  • Graduate Student Information Form
• The required downloadable form(s), to be completed by your healthcare provider, include:
  • Graduate Student Immunization Form
• Once completed, please upload the required downloadable forms in Medicat under Uploads.
• For an official copy of your immunizations or acceptable proof of immunity (select “List of Immunizations Provided by Student”.)

Student Health Portal

How to meet your health onboarding requirements

• Review the State of CT mandatory College Immunization Requirements
• Log into my.fairfield.edu using your Fairfield University Account username and password. Search for “Immunizations” using the search bar at the top, and click on the "Health Forms and Immunization Requirements for All Students” task to launch Medicat.
• Complete your required online forms. The online forms are available in Medicat, your secure patient portal.
• The required online forms include:
  • Tuberculosis (TB) Risk Screening Questions
  • Part-Time & Continuing Studies Information Form
• The required downloadable form(s), to be completed by your healthcare provider, include:
  • Part-Time & Continuing Student Immunization Form
• Once completed, please upload the required downloadable forms in Medicat under Uploads.
• For an official copy of your immunizations or acceptable proof of immunity (select “List of Immunizations Provided by Student”.)

Student Health Portal

How to meet your health onboarding requirements

• Review the State of CT mandatory College Immunization Requirements
• Log into my.fairfield.edu using your Fairfield University Account username and password. Search for “Immunizations” using the search bar at the top, and click on the "Health Forms and Immunization Requirements for All Students” task to launch Medicat.
• Complete your required online forms. The online forms are available in Medicat, your secure patient portal.
• The required online forms include:
  • Tuberculosis (TB) Risk Screening Questions
  • Second Degree Nursing (TX) Information Form
• The required downloadable form(s) include:
  • Health Care Provider Attestation Form for SDNU (TX)
• For detailed information about required immunizations to meet both Fairfield University Health Center and Egan Clinical requirements, please see the Checklist of Required Immunizations and the Immunization Requirement Overview documents in Medicat under Forms.

Student Health Portal

How to meet your health onboarding requirements

• Review the State of CT mandatory College Immunization Requirements
• Log into my.fairfield.edu using your Fairfield University Account username and password. Search for “Immunizations” using the search bar at the top, and click on the "Health Forms and Immunization Requirements for All Students” task to launch Medicat.
• Complete your required online forms. The online forms are available in Medicat, your secure patient portal.
• The required online forms include:
  • Tuberculosis (TB) Risk Screening Questions
  • Second Degree Nursing (CT) Information Form
• The required downloadable form(s) include:
  • Second Degree Nursing (CT) Egan Physical Form
• Once completed, please upload the required downloadable forms in Medicat under Uploads. Please keep a copy of this completed form for your Clinical Requirements.
• For an official copy of your immunizations or acceptable proof of immunity (select “List of Immunizations Provided by Student”.)

Student Health Portal

You must provide proof of one of the following:

• Two MMR immunizations (one on or after your first birthday and after Jan. 1, 1969 AND one at least 28 days later and after Jan. 1, 1980),
  OR
• Documentation of positive MMR titer (blood test),
  OR
• Documentation of the date of MMR disease by your healthcare provider

(Students born before Jan. 1, 1957 are exempt.)

You must provide proof of one of the following:

• Two varicella immunizations (one on or after your first birthday and one at least 28 days later),
  OR
• Documentation of positive Varicella titer (blood test),
  OR
• Documentation of the date of varicella disease by your healthcare provider

(Students born in the U.S. before Jan. 1, 1980 are exempt.)

You must provide proof of having received a quadrivalent meningococcal conjugate vaccine not more than five (5) years before enrollment. Examples of quadrivalent meningococcal conjugate vaccines include Menactra or Menveo. A

Meningococcal Disease Fact Sheet

(Required for students living on campus only.)

All students are required to complete a series of TB risk assessment questions. Students determined to be at high risk for TB need TB testing as outlined on the Medical Report form.

Hepatitis B immunization is recommended.
(This is not a requirement.)

Hepatitis B Fact Sheet

• Serogroup B Meningococcal Vaccine is recommended.
  (This is not a requirement.)
• Teens and young adults (16 - 23 years old) may also be vaccinated with a serogroup B meningococcal vaccine (Bexsero or Trumenba) to protect against most strains of serogroup B meningococcal disease. Two or three doses are needed depending on the brand.
  (This vaccine is given in addition to the quadrivalent meningococcal conjugate vaccine.)

Meningococcal Disease Fact Sheet

• Students born before January 1, 1957, are exempted by age from the measles, mumps, and rubella requirement.
• Students born in the U.S. before January 1, 1980, are exempted by age from the varicella requirement.
• The University will accept medical exemption certificates if, in the opinion of the student's healthcare provider, such immunization is medically contraindicated. According to C.G.S. 10a-155(b)(1), a healthcare provider submitting a medical exemption certificate for a student attending a Connecticut institute of higher education must use the Medical Exemption Certificate available on the Connecticut State Department of Public Health website.
• The University will accept a certificate from a student's physician, a physician assistant, an advanced practice registered nurse, or the director of health in the student's present or previous town of residence, stating that the student has had a confirmed case of such disease.
• The University will accept copies of statements that were, following applicable state law, formally executed before April 28, 2021, supporting that such vaccinations are contrary to the religious beliefs of the student.

Exemptions may subject the individual to exclusion from campus in the event of an outbreak of a disease or other circumstances.