The Hawai'i State Department of Health Immunization branch provides this brochure which includes a summary of the post-secondary school health requirements as dictated in the Hawai'i Administrative Rules, Chapter 11-157.
Post-Secondary School means any:
- Adult Education School
- Business School
- Trade School
- Community College
- College or University
The following are required prior to enrollment at any post-secondary school.
1. Immunizations – evidence of immunity to Measles, Mumps and Rubella (MMR).
- A record of immunizations, signed or stamped by a US licensed Medical Doctor (MD), Doctor of Osteopathy (DO), Advanced Practice Registered Nurse (APRN), Physician Assistant (PA), or clinic, must be presented for school attendance. This record must include complete dates (month/day/year) for each immunization. A date which shows month/year only may be accepted provided it is clear that there were at least 30 days between each MMR vaccination.
- Two doses of the Measles vaccination are required, with at least one of the two being the MMR vaccine. Students who received the vaccinations separately must show record of two measles vaccinations, one mumps vaccination and one rubella vaccination.
- A blood test showing laboratory evidence of immunity to measles, mumps and rubella signed by a US licensed MD, DO, APRN, or PA or PA may be substituted for a record of immunizations.
- Students born before 1957 are exempt from the MMR immunization requirement.
- A 45-day grace period (from the start of instruction) will be given if the student submits a medical appointment card or letter from a practitioner showing that the student is in the process of obtaining the required immunization(s).
2. Certificate of Tuberculosis Examination – Mantoux Tuberculin skin test (PPD) or chest x-ray completed within 12 months of school entry date
- A certificate of Tuberculosis (TB) examination is required before post-secondary school attendance in any course of study longer than 6 months. This requirement may not be deferred or postponed.
- The Mantoux Tuberculin skin test (PPD) must have been given within 12 months before first attending post-secondary school in Hawaii.
- The Certificate of TB Examination may be issued by the Hawaii Department of Health or a U.S. licensed MD, DO, APRN, or PA. The certificate must include:
- the date of administration and reading of the Mantoux skin test (PPD)
- the measurement in millimeters of the induration (raised skin reaction)
- the signature or stamp of the MD, DO, APRN, PA, or clinic
- If the transverse diameter of induration (raised skin reaction) is 10mm or greater, a chest x-ray is also required as part of the TB examination to exclude communicable TB. Students with a past positive PPD, documented as stated above, may have a chest x-ray without a repeat skin test.
A registration hold is placed on the student’s account until s/he provides the required health clearance documentation(s). A registration hold prevents registration into classes, UH System-wide.
For information on obtaining immunizations and/or TB test please contact:
University of Hawaiʻi at Hilo
Student Health Center
200 W. Kawili Street
Hilo, HI 96720
Hawaii State Department of Health – Waiakea Health Center
191 Kuawa Street
Hilo, HI 96720