Mail/Fax this form to:
Florida Atlantic University
Student Health Services
Immunization Office
777 Glades Road, Bldg. SU 80, Rm. 114
Boca Raton, FL 33431
Phone: (561) 297-0049
Fax: (561) 297-2769
Immunization Policy
Pursuant to Florida Board of Governors Regulation 6.001(9), prior to registration, each student accepted for admission at
Florida Atlantic University must submit a signed FAU Immunization Form. Florida Atlantic University requires documented proof of
immunizations to measles and rubella. In addition, pursuant to Florida Board of Governors Regulations 6.007, effective July 1, 2008,
all new matriculating students must also provide documentation of vaccinations against meningococcal meningitis and hepatitis B or
provide a signed waiver for each declined vaccination.
Acceptable documentation is as follows:
MEASLES (RUBEOLA):
Students can be considered compliant for measles only if they have official documentation of at least one of the following:
1. Immunization with TWO (2) DOSES of live measles virus vaccine* on or after the first birthday and at least 28 days apart.
Persons vaccinated with killed or unknown vaccine prior to 1968 must be revaccinated.
2. Laboratory (serologic) evidence of measles immunity.
3. A written, dated statement, signed by a physician on his/her stationery, that specifies the date seen and stating that the person
has had an illness characterized by a generalized rash lasting three (3) or more days, a fever of 101 degrees Fahrenheit or greater,
a cough and conjunctivitis, and, in the physician’s opinion, is diagnosed to have had the 10-day measles (rubeola).
RUBELLA (GERMAN MEASLES):
Students can be considered compliant for rubella only if they have official documentation of at least one of the following:
1. Immunization with one (1) dose live rubella virus vaccine* on or after the first birthday.
2. Laboratory (serologic) evidence of rubella immunity.
* PLEASE NOTE: ALL FEMALE STUDENTS SHOULD BE AWARE...