Health Forms and Immunization

Each full-time undergraduate and graduate student, all full and part-time students in health science programs involving patient contact (Nursing, Occupational Studies, and Communication Sciences and Disorders), and all students attending Worcester State University on a student visa must present evidence of immunization in order to register for courses. Massachusetts law specifies the following immunizations:

  1. two doses of measles, mumps and rubella vaccine given at least one month apart beginning at or after 12 months of age;
  2. one dose of tetanus/diphtheria/pertussis (Tdap) is required, if it has been 5 years or more since the last dose of tetanus/diphtheria (Td);
  3. three doses of Hepatitis B vaccine;
  4. All newly enrolled full-time resident students must be immunized with the Meningococcal vaccine within the last 5 years or the student/parent/legal guardian may sign the Meningococcal Information and Waiver Form developed by the Massachusetts Department of Public Health; and
  5. a history of varicella (chicken Pox) disease verified by a health care provider, or two doses of Varicella vaccine given at least 1 month apart beginning at or after 12 months of age.

A copy of an immunization record from a school or medical provider's office indicating receipt of the required immunizations may be presented; or in the case of measles, mumps, rubella, Hepatitis B, or varicella, laboratory evidence of immunity. The law provides for medical and/or religious exemptions. Provision is also made to allow students to register on condition that the required immunizations are obtained within thirty days of enrollment.

Students must submit the Worcester State University Health and Immunization form, completed by a medical provider, in order to register for courses. In addition to the required immunizations, this form includes a physical exam completed within 15 months of entrance to school, and the completion of the Tuberculosis Risk Screening Questionnaire.

 All resident students must have a complete Worcester State University Health Form in order to move into the residence halls.

All students, listed previously, must have a complete Worcester State University Health Form in order to register for classes. 

If a student does not have a complete Worcester State University Health Form within 30 days of enrollment, a Health Hold is placed on his/her account, and he/she will not be able to register for classes the next semester. 

Contact Information

For additional information regarding the Worcester State University Health and Immunization Form or Health Holds, please contact :

Health Services - Sheehan Hall
508-929-8875
508-929-8075 (fax)
email: kasquith@worcester.edu
Webpage:  Health Services

Health Insurance

The Commonwealth of Massachusetts requires that students must be covered by health insurance under their own policy or purchase the Worcester State University health insurance plan. Health insurance is required for undergraduate students if they register for nine (9) or more semester hours of credit. Coverage for graduate students is required if they register for seven (7) or more semester hours of credit.

At the time of Fall and Spring registration, all students will be enrolled in and charged for the Worcester State University Student Health Insurance Program. Students who do not wish to participate in Worcester State University’s plan must return the completed waiver request form that is enclosed with their bill. They may also waive the insurance online at University Health Plans. Both the completed waiver form and proof of insurance coverage should be returned with payment of their bill to the Bursar’s Office. Students who enroll only in summer session courses are not required to participate.