Immunizations
Medical History Forms:
Gynecological History [.pdf 33 kb]
[.pdf 85KB]
Health Care Advance Directive
Download Immunization Forms
Required forms for all FGCU students.
Immunization History Form
Hepatitis B Form
Meningitis Vaccine Form
Immunization information
FGCU Immunization Requirements
NEW! Hepatitis and Meningitis Requirements
Immunization requirements for College of Health Professions
Cost of immunizations given by Student Health Services
Meningitis FAQ
FGCU Immunization Requirements
State of Florida Requirements for all Eleven Universities
The State University System of Florida requires all students born after December 31, 1956 to present documented proof of immunity to measles (rubeola) and German Measles (rubella). This written document must be signed by a physician, a nurse practitioner or a registered nurse and must be mailed, sent via fax, or brought to Student Health Services. Phone calls from your physician are not acceptable. If you have questions, call the FGCU Student Health Services at (239) 590-7966. Please refer to the following links below for additional information.
Immunization Proof Required
Not able to find your immunization documents?
Valid Exemptions from Proving Immunity
Acceptable Forms of Documentation
Where to Get Immunized or Tested
Acceptable Proof Consists of the Following:
- Proof of two (2) Vaccinations (Doses) of MEASLES received at least 28 days apart and one vaccination of RUBELLA
- Vaccinations MUST have been received AFTER your first birthday.
- Measles vaccinations MUST have been received in 1968 or later: Rubella vaccination in 1969 or later.
- Proof of immunity by way of a blood test result (titer).
- A written, dated statement signed by a qualified health care provider on office letterhead stationery which specifies the date seen and states that the student has had an illness with 3 days or more of a rash, fever of 101 degrees or greater, cough AND Conjunctivitis and is considered to have the RUBEOLA (measles) disease.
Not able to find your immunization documents?
If you are unable to obtain written documentation of the actual dates, it is recommended that you either have a blood antibody titer test performed to determine if you are immune to both viral diseases or, if you must register ASAP and are unable to wait for the test results, you can safely receive an extra dose of the MMR vaccine.
Valid Exemptions from Proving Immunity
You will be exempt from the state of Florida immunization requirement if you meet any one of the following criteria
- Temporary Medical Exemptions (Pregnancy, Illness, Allergies) B
- Birthdate (exempt if born prior to December 31, 1956)
- Distance Learning only student
- For details on exemptions please contact Student Health Services, 239-590-7966
Acceptable Forms of documentation
The following documents are acceptable:
- Childhood immunization records
- School immunization records
- HRS (Department of Health and Rehabilitative Services)
- Military service records
- Document indicating immunity by blood test (titer)
Places to go to get immunized or tested
- FGCU Student Health Services-Cost: MMR $50.00 each ; blood test $39.00
- Walk-in clinics
- Your private physician office
- Health Department
College of Health Professions Immunization Requirements
The College of Health Professions requires the following for all admitted students prior to enrolling in their first Health Professions course:
- Varicella titer test or immunization
- Tetanus booster
- TB test within 1 year of application and yearly thereafter
- Hepatitis B Vaccine series and positive titer
The following immunizations are given at Student Health Services:
- MMR - $50.00 each
- Hepatitis A - $75.00 each
- Hepatitis B - $50.00 each
- Tuberculosis Screening $3.00
- Lab work for proof of Varicella - $23.00
- Flu shot - $5.00
- Tetanus - $20.00
- Meningitis Vaccine - $100.00
- TDAP - $35.00
Meningitis FAQ
New Immunization requirements
Please see the new requirements for immunization for meningits and hepatitis B effective July 1, 2008. Please click here.
Meningitis Vaccine
Meningococcal disease is a serious illness, caused by a bacteria. The disease can be manifested as meningococcal meningitis, an inflammation of the membranes surrounding the brain and spinal cord or meningococcemia, the presence of bacteria in the blood. In spite of treatment with antibiotics serious complications can occur. Meningococcal disease strikes about 3,000 Americans each year and is responsible for approximately 300 deaths annually.
How is meningococcal disease spread?
Meningococcal disease is transmitted through the air droplets of respiratory secretions and direct contact with an infected person.
Who is at risk?
Recent evidence found students residing on campus in dormitories appear to be at higher risk for meningococcal disease than college students overall. Further research recently released by the CDC shows freshmen living in dormitories have a six times higher risk of meningococcal disease than college students overall. Although anyone can come in contact with the bacteria that causes meningococcal disease, data also indicates certain behaviors, such as exposure to passive and active smoking, bar patronage, and excessive alcohol consumption, may put students at increased risk for the disease.
Is meningitis vaccine recommended?
The Advisory Committee on Immunization Practices of the U.S. Centers for Disease Control and the American College Health Association recommends that individuals college students, particularly college freshmen who live in or plan to live in dormitories or resident halls, consider getting the meningitis vaccine to reduce their risk of meningococcal disease. The Florida Legislature mandates that students living in on campus housing be vaccinated for meningitis and hepatitis B or sign a waiver refusing them.
How effective is the meningitis vaccine?
The meningococcal vaccine has been shown to provide protection against the most common strains of the disease, including serogroups A, C, Y and W-135. As with any vaccine, meningococcal vaccination may not protect 100% of susceptible individuals. Protection from the vaccine lasts for at least 3 – 5 years.
Where can I get the meningitis vaccine?
The vaccine is available at Student Health Services for $100. The telephone for Student Health Services to make an appointment is 590-7966. The Lee County Health Department also has it available for $110.
