Documentation of Immunizations, Immunity, and Physical Health
Matriculating students are required to set up an account with an LMU-CDM contracted vendor who monitors, approves, and manages all required health forms and substantiating documentation. Applicants accepted for admission are required to submit medical history, physical examination, PPD testing and proof of immunity forms that have been completed, reviewed, and signed by a licensed health care provider (DO, MD, PA-C, FNP) prior to matriculation. Students without the required immunizations and proof of immunity will not be permitted to actively participate in patient care activities until the requirements have been completed and authorized by an LMU- CDM healthcare provider. Students must also provide proof of health insurance.
Documents that must be completed prior to matriculation include:
- LMU-CDM Prematriculation Medical History completed and signed by the student and reviewed/signed by a healthcare provider
- LMU-CDM Prematriculation Physical Exam form, completed and signed by a licensed healthcare provider (DO, MD, PA-C, FNP)
- LMU-CDM Record of Immunity form, completed and signed by the licensed healthcare professional (Prematriculation Provider)
- Substantiating documentation (copies of laboratory results, immunization records, chart records of immunizations, PPD testing form or CXR report, etc.) must accompany the Record of Immunity Form for the student’s folder to be considered complete
- Records Release Form signed by student authorizing LMU-CDM to release health related information to affiliated training sites where the student will be rotating
It is expected that this documentation will be provided by the matriculating student to the Admissions Office, along with other required admissions documents, by June 30 of the matriculating year, unless extenuating circumstances exist. The expense of immunizations and immunity titers is understood by LMU-CDM, and the possibility of non-immunity and the necessity for booster vaccination has been taken into account with the expectation that all files will be complete no later than the end of the first semester following matriculation. Any student not making a good faith effort to complete their immunization record by this time will not be permitted to register for the second semester.
During the second semester of the first, second, and third years, students will be expected to provide an updated PPD and urine drug screen as a requirement for beginning clinical rotations. Any student not providing evidence of updated PPD and urine drug screen by June 30 will not be authorized to participate in the dental clinic until completed.
Required prior to matriculation
- Proof of TdAp and polio vaccine
- Proof of meningococcal vaccine
- Negative PPD screening for tuberculosis (Yearly Requirement)
- If prior history of tuberculosis, BCG vaccination, or positive PPD, must provide negative chest x-ray and/or negative QuantiFERON- TB Gold test within 6 months of matriculation
- Proof of initial vaccination in Hepatitis B series and Immunity
- Urine drug screen (10 panel testing) negative except for prescribed substances (Yearly Requirement)
- Proof of immunity against measles, mumps, and rubella
- Qualitative or quantitative antibody titers for MMR
- If any of the three components show insufficient immunity, a booster vaccination and recheck of titer 6 weeks later is required
- Proof of immunity against varicella
- Qualitative or quantitative antibody titers for varicella
- History of infection is not considered proof of immunity
- If antibody titer is negative, booster vaccination and recheck of titer 6 weeks later is required
Required prior to starting clinical patient
- Proof of immunity against measles, mumps, and rubella, if not provided at matriculation
- Qualitative or quantitative antibody titers for MMR
- If any of the three components show insufficient immunity, a booster and recheck of titer 6 weeks later will be required
- Proof of immunity against varicella, if not provided at matriculation
- Qualitative or quantitative antibody titers for varicella
- History of infection is not considered proof of immunity
- If antibody titer is negative, booster vaccination and recheck of titer 6 weeks later is required
- Proof of immunity against hepatitis B, if not provided at matriculation
- Proof of completion of 3 injection series (takes 7 months to complete)
- Qualitative or quantitative antibody titers showing immunity to Hepatitis B, ideally drawn 6-12 weeks after completion of 3 injection series
- If antibody titers are negative 6-12 weeks following completion of Hepatitis B series, a second series of 3 injections needs to be completed, with antibody titers drawn 6-12 weeks following completion
- If antibody titers are negative following second series of 3 injections (per protocol), and proof of completion of two full series of vaccinations is provided, student will be considered a “non- responder” to Hepatitis B immunization
- Negative PPD screening for tuberculosis within 6 months of starting rotations
- If prior history of tuberculosis, BCG vaccination, or positive PPD, must provide negative chest x-ray and/or QuantiFERON-TB Gold test within 6 months of starting rotations
- Urine drug screen (10 panel testing) negative with the exception of prescribed medication
Note: Though proof of Hepatitis B immunity is not required until the start of rotations, if you have completed the Hepatitis B vaccination series, it is advisable to provide proof of immunity prior to matriculation.