The Tulane Immunization Form documents that the student has received the following:
The student's health care provider will complete and sign the form. Completed signed forms must be uploaded to the Patient Portal. Faxes and emails are not accepted.
The form serves as a guideline for students to gather all immunization records in one step. However, using the form is not mandatory. As an alternative to using this form, you can submit proof of these vaccinations from your external healthcare provider by uploading them to the Patient Portal.
Find the form below that is applicable to you.
Students who are opting out of any of the required vaccines for medical, religious or personal reasons must submit a waiver form online via the Patient Portal. For each required vaccine a student wishes to opt out of, a separate waiver form submission is required. These waiver forms can be found by logging on to the Patient Portal, clicking on the Forms tab and scrolling down to the Immunization Waivers section.
Please note that students who opt out of new immunizations are still required to submit records of any immunizations they have received in the past.
NOTE: You must have received your Tulane Login Information (email address) and Student ID prior to completing and submitting the Immunization Compliance Form. (Note: It takes approximately 24-48 hours for the Tulane system to link with the Patient Portal system. So if your information is not found, please check back in a day or two.)