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 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:
- Notice and Instructions for Forms Completion
- Certificate of Immunization for College Students Form **
- Mandatory Meningococcal Disease Information Form **
- Tuberculosis Information and Screening Form **
- Authorization for Treatment of a Minor Form - completion only required if student is under the age of 18 when arriving on campus
** All new students are required to complete and submit these three forms.
Deadline for submission
See deadlines in blue box (top right).
Mandatory forms from all new students must be received by the semester deadline according to their first semester of classes at CU-Boulder or a $25 fee will be assessed and a hold will be placed on the students’ accounts preventing them from registering for any 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 at Boulder
Immunization Program
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
