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University Health Center

College of Nursing

Immunization BucList

Important: The below requirements need to be completed and verified by the University Health Center at least two weeks prior to your scheduled orientation date. All immunizations forms must be submitted to

  • After being admitted to ETSU, you will be provided an ETSU email and ETSU ID number (E#) via email from the ETSU Admissions Office.
  • Activate your new email account. (How to activate your new email account link)
  • Download the ETSU Immunization Form.
  • Print and take this Immunization Form to your health care provider for completion.
  • Make sure the provider has signed it and the medical office has officially stamped it with their contact information.
  • Email, send or fax the completed Immunization Form to University Health Center, ; fax: 423-439-4560.
  • Need Help? Contact ETSU University Health Center 423-439-4225; or email
  • Check your ETSU email periodically during this process. You will be contacted through your ETSU email of any missing information.

Hepatitis B and Meningococcal History Form

Under 18!

  • All students under the age of 18 are required to have a parent or guardian sign and send this form to the Univeristy Health Center. Failure to provide this document to University Health Center will prevent you from registering for any classes.

Over 18

  • Students over the age of 18 years old, will be able to complete this form electronically when you register for classes. (If you are 18, you do not need to upload this form.)

Housing Meningococcal Immunization Requirement

This requirement does not prevent your registration process. It will prevent you from being able to move into your campus housing unit. If you are under the age of 22 and will be living on campus, you will have to provide medical documentation of having received a meningococcal vaccine with the past 5 years. If you are not planning to live on campus, or if you have not submitted a meningococcal vaccine, this item will remain and show in red as Action Required until the requirement is satisfied or until you are 22 years old.


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