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Vaccines greatly reduce the risk of becoming seriously ill from – or spreading – common diseases. They’re the best way to protect yourself and your community from certain preventable diseases. We require all students to provide documentation of immunization against measles, mumps and rubella (MMR); and chicken pox (Varicella). For students living on campus, we also require vaccination for Meningitis ACYW (meningococcal conjugate vaccine). Click here to view our immunization policy.

Enter and Upload your Immunization Record for MMR, Varicella and Meningitis 
 
Students may be granted an exemption from immunization if needed. 

For Varicella or MMR, please follow the instructions below:

Each needed vaccine exemption requires a separate online entry and uploaded form.  You may use the same form for multiple vaccine exemptions, but the form must be uploaded for each vaccine exemption entry.

For Meningitis ACYW exemptions:

Please complete and return a waiver form.

Medical Exemptions: 

Require a doctor’s signature.  

Please download and print the following form for your medical provider to complete: Medical Exemption Form  

Upload the completed form here for each vaccine exemption request: Immunization Exemption Requests (tfaforms.net)

Religious and Moral/Ethical Exemptions:

Require a signed statement about why you need to be exempt from a vaccine.

Please download, print and complete the following form: Religious or Moral/Ethical Exemption Form

Upload the completed form here for each vaccine exemption request: Immunization Exemption Requests (tfaforms.net) 

If you need assistance with the Varicella, MMR or Meningitis ACYW vaccine exemption process, completing the forms or uploading the documents, please contact UPB Health Services at 814-362-5272 or upb.healthservices@pitt.edu.