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All new or continuing undergraduate and graduate students enrolled in a program of study leading to an academic degree at any four (4) year public or independent institution of higher education in New Jersey are required to provide evidence of immunization as a prerequisite to enrollment.
Required Immunizations (MMR & Hep B only required to be submitted by students 30 years or younger as of their first semester start date)
• Measles, Mumps, Rubella (MMR) – 2 doses. Any student born after 1956 must provide vaccination documentation of two (2) doses of MMR. The first dose must be administered on or after your first birthday and the second dose must not be administered any less than one (1) month from the first. Laboratory blood tests that demonstrate immunity may be submitted in place of vaccination documentation. We must receive a copy of the blood work results in order to verify immunity.
• Hepatitis B – 2 or 3 dose series- NJ State law requires all new incoming students registered for 12 or more credits must provide proof of a completed Hepatitis B vaccine series. This can either be the two (2) dose adolescent series or the three (3) dose pediatric/adult series. Laboratory blood tests that demonstrate immunity may be submitted in place of vaccination documentation. We must receive a copy of the blood work results in order to verify immunity.
• Meningitis Vaccine – *1 or 2 doses. NJ State law requires all students who intend to live in the residence life halls on campus must provide documented proof of one (1) dose of the meningitis vaccine. Housing room assignments will not be given until proof of meningitis immunization is provided.
** MenB vaccine (Trumenba/Bexsero) is NOT the same as MenACWY (Menactra/Menveo) and therefore MenB DOES NOT fulfill the state vaccine requirement for dorming. MenB vaccine is highly recommended but not required for university attendance.
*Two doses of meningitis (MCV4) are recommended for adolescents 11 through 18 years of age: the first dose at 11 or 12 years of age, with a booster dose at age 16. If the first dose (or series) is given between 13 and 15 years of age, the booster should be given between 16 and 18. If the first dose (or series) is given after the 16th birthday, a booster is not needed.
The Tetanus Vaccine, Flu Vaccine, and Meningitis Vaccine as well as a tuberculosis skin test, are highly recommended for all University students.
A request for exemption from these requirements due to religious beliefs may be submitted to the Counseling, Health and Wellness Center. The request must be in writing from the enrolled student if aged 18 or over and specifically state the religious doctrine that prohibits vaccination.
Exemption from requirements based on medical reasons must be submitted to the Counseling, Health and Wellness Center in the form of a signed statement from a healthcare provider indicating a specific immunization is contraindicated due to a valid medical condition. This documentation will be reviewed annually.
Please note- a student with religious or medical exemptions from receiving immunizing agents may be temporarily excluded from classes and from participating in institution sponsored activities during a vaccine-preventable disease outbreak or threatened outbreak. This decision shall be made by the institution in consultation with the Commissioner, Department of Health and Senior Services or his or her designee. This exclusion shall continue until the outbreak is over or until proof of the student's immunization or immunity is furnished.
Immunization documentation will be accepted in the following formats:
Students who do not comply will have a registration hold placed on their account until documentation is received. Please review all documents to ensure they are correct and complete prior to submitting them to the Health and Wellness Center. Any questions please call: 973-720-2360 or email firstname.lastname@example.org.
William Paterson University
Counseling, Health and Wellness Center
Wayne, New Jersey, 07470
(973)-720-2360 FAX: (973)-720-2632
Email: wpuimmunization @wpunj.edu
All vaccine dates must be entered & documentation received prior to the start of each student's incoming semester.
Non-compliance will result in a registration hold for the 2nd semester until immunizations are received.
Request and Authorization to Release Protected Health Inforrmation (to be completed to obtain your medical records / immunizations)
Immunization Form (can be used in place of submitting a copy of your official immunzation records)
MINORS - Meningiits Survey & Parental Consent Form (must be completed ONCE for all incoming students 17 years or younger - student 18 years or older must complete this form online via Student Health Portal)
Athletics & Club Sports Forms
Sports Physical (all physicals must be completed at CH&WC)
Athletic Release and Authorization Form (to be completed annually by all athletes)
Sickle Cell Trait Form (to be completed annually by all athletes)
Clinical Student Forms
Nursing & Communication Disorder Initial Physical (for first time clearance only)
Nursing & Communication Disorder Re-physical (complete this form if you have been cleared before by CH&WC)
Clinical Release Form (to be completed annually by Nursing & Communication Disorder students)
300 Pompton Road
Wayne, New Jersey 07470