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Required Immunization Forms

Colorado State Law requires new freshman, transfer, and graduate students to submit proof of two doses each of measles (rubeola), two rubella (German measles), and two mumps (or "MMR") vaccinations. This is a mandatory requirement for all college students born on or after January 1, 1957.

Medical, religious, and personal exemptions are allowed by law. To do so, fill out the lower section of the Certificate for Immunization form.  Please note that in the event of an outbreak, exempted persons may be subject to quarantine and exclusion from school.

Required forms for all new CU-Boulder students:

1. Proof of MMR Vaccination Read more >>
2. Tuberculosis Information and Screening Form Read more >>
3. Mandatory Meningococcal Disease Information OR Proof of meningococcal vaccination Read more >>

Forms available for printing:

Click on a link below, then chose "File," and "Save As" to save to your computer. Please print legibly on white paper and use black ink.

Download all forms: All forms and instructions

Download documents individually:

** All new students are required to complete and submit these three forms.

Deadline for submission

Fall deadline is September 3, 2014.

Forms must be received by the semester deadline according to the student's first semester of classes at CU-Boulder or a $25 fee will be assessed and a hold will be placed on the students' account preventing them from registering for the following semester.

How to submit completed forms

All forms should be legible and include student name, ID number, and date-of-birth.

Fax: 303-492-1014

Mail:
University of Colorado Boulder
Patient Services
Wardenburg Health Center
119 UCB
Boulder, CO 80309-0119
*Do not mail your records to any other department on campus.

In Person: Wardenburg Health Center, Room 333