State of Hawai‘i Health Clearance Requirements

State of Hawai‘i law mandates that certain health requirements be cleared before students can enter into postsecondary institutions (Hawai‘i Administrative Rules, Title 11, Department of Health, Chapter 157 Examination and Immunization) which may be found here. The following information is provided to assist students with fulfilling these requirements prior to beginning classes at HPU. Students may submit proof of appointment if they are unable to comply with these requirements before the start of classes.

Required of all students entering HPU July 1, 2020 and beyond:

  • Tuberculosis and Measles, Mumps, Rubella FORM D
  • Tetanus-Diphtheria-Acceular Pertussis, Varicella, and Meningococcal Conjugate FORM E

Students who enrolled at HPU prior to July 1, 2020 are required to submit FORM D only.

Please note this form is required for all HPU students (including faculty and staff who are students) and are separate from the additional records required for students in the Nursing Program.

International students submitting forms requesting a U.S. State & License Number can be left blank upon submission if you are located outside of the U.S. The original documents must be signed upon arrival to HPU. This can be done at HPU’s Health Clinic.

Post-Secondary School Students are Required to Have:

U.S. AND STUDENTS COMING FROM FOREIGN COUNTRIES:

 

 

  • 2 doses of measles vaccine are required, with at least one of the two being an MMR (Measles, Mumps, and Rubella) vaccine. 
    • 1st dose must have been given on or after 12 months of age.
    • 2nd dose must have been given at least 4 weeks after the first dose.

EXEMPTIONS:

 

 

  • Student was born before 1957 (must provide proof of birth date).
  • Laboratory evidence of immunity (positive antibodies) to MMR.

 

Post-Secondary School Students are Required to Have:

U.S. and STUDENTS coming from foreign countries:

 

 

  • A completed TB Risk Assessment Form (such as the State of Hawaii Department TB Risk Assessment Form)
    • This form must be completed within 12 months of starting at HPU or must have been completed on or after the age of 16.
  • IF the Risk Assessment Form presents risks, one of the following is required:
    • A negative Tuberculin skin test (PPD-Mantoux). The skin test must be read 48-72 hours after administration and documented in millimeters (mm). Test results without the induration in millimeters will be rejected.  
    • A negative QuantiFERON Gold In-Tube or T-Spot Blood Test.
    • A negative chest x-ray (taken within the last 12 months) with laboratory report/results attached.

Note: Blood tests outside of the U.S. are accepted. All TB risk assessments/skin tests/chest x-rays MUST be completed and signed by a U.S.-Licensed Healthcare Professional (M.D., D.O., N.P., P.A., or clinic stamp). (Chapter 164.2 of Title 11, Hawaii Administrative Rules (HAR) for Tuberculosis)

 

EXEMPTIONS:

 

  • Not required if the planned course is less than 120 days.
  • If the student is never physically on campus for instruction or training.

 

 

A TB clearance may be obtained from any of the following:

Post-Secondary School Students are Required to Have:

 

U.S. AND STUDENTS COMING FROM FOREIGN COUNTRIES:

 

 

  • 2 doses of varicella vaccine are required.
    • 1st dose must be given after the age of 12 months.
    • 2nd dose must have been given 4 weeks after 1st dose (for students who received 1st dose at age 13 years or older).

 

EXEMPTIONS:

 

 

  • Students born in the United States prior to 1980 (Must provide proof of date of birth).
  • Laboratory evidence of blood titers.
  • A signed, documented diagnosis or verification of a history of varicella disease or herpes zoster by a practitioner may be substituted for a record of varicella vaccination. Documentation must be accompanied by laboratory evidence of blood titers. 

Post-Secondary School Students are Required to Have:

 

U.S. AND STUDENTS COMING FROM FOREIGN COUNTRIES:

 

  • 1 dose required - most recent dose must have been given on or after the age of 16 years.
  • Note: Only required for new students planning to live on-campus who are 21 years of age or younger.

 

Post-Secondary School Students are Required to Have:

 

U.S. AND STUDENTS COMING FROM FOREIGN COUNTRIES:

 

  • 1 dose required – most recent Tdap.

Exemptions

Valid exemptions for immunizations include medical and/or religious reasons. No other exemptions are allowed by the state.

 

Medical exemptions must be obtained from the student’s healthcare professional (i.e. a doctor’s note) that includes the start date and the end date the student is no longer exempt. The student will need to comply once the exemption period has ended.

 Medical Exemption Form

 

If immunizations conflict with a student’s bona fide religious tenets and practices, students may request an exemption on religious grounds.

 Religious Exemption Form

The State of Hawai‘i does not provide religious or medical exemptions from the Tuberculosis Clearance requirement.

Any exceptions must be obtained from the student’s healthcare professional (i.e. a doctor’s note) that includes the start date and the end date the student is no longer exempt. The student will need to comply once the exemption period has ended.

All post-secondary students who attend classes exclusively online or electronically via remote learning are excluded from the immunization and TB Clearance requirements.