Complete Immunization Verification Form
Duquesne University Health Services maintains immunization compliance through an electronic health record system that features an interactive patient portal accessed through the Duquesne App. Students are required to print the Duquesne University Immunization Verification Form and have it completed by a licensed medical provider, then electronically submit it via the Health Services Student Portal.
Immunization Requirements for All Incoming Students
Required Electronic Submissions
Submit the student health history online via the Student Health Services Portal.
Required Electronic Submissions
Provide the dates of required immunizations: Two (2) MMR vaccine or Two (2) doses of measles and mumps with one dose of rubella dates. One (1) Meningococcal ACWY vaccine date (on or after the 16th birthday).
International Student Only
The Health Services office collaborates with the Center for Global Engagement to collect, store, and monitor health requirements for all students. Health Services is a valuable student resource for medical services and health information.
The Annual Tuberculosis Questionnaire form is required to be completed each year. This form must be completed annually and then uploaded to the Health Services Student Portal. A Health Services staff member will contact the student for any additional information or if tuberculosis infection testing is required after the form is reviewed.
NOTE: ANY medical records brought from your country MUST be translated into English.
**If Tuberculosis infection testing is indicated, it has to be done after July 1st for the Fall Semester or within 6 weeks of arrival into the United States. If tuberculosis testing is required the Quantiferon Gold (Q-Gold) blood test, otherwise known as an IGRA blood test. If the test is unable to be obtained prior to arrival to the United States, then this test can be done on campus at Health Services. This test cannot be performed within four weeks after receiving a live virus vaccine, such as the MMR.
Failure to comply with Health Services will affect your immigration status. Students who do not meet with Health Services will have a hold on their registration. Students unable to register will violate their student status since they must be registered each semester to maintain F-1 status.
Students are strongly encouraged to purchase the Duquesne University Student Health Insurance which is offered by the UPMC Health Plan. Students who wish to waive the student insurance plan must have a policy that is compliant with the University's standard and have coverage in the Greater Pittsburgh Area. Please call Gallagher Insurance for any questions regarding plans or visit the Gallagher Insurance.
Pre-clinical Health Requirements
Students admitted to the Schools of Nursing, Pharmacy and Rangos School of Health Sciences will participate in experiential learning as part of their curriculum. Each of these schools has established policies with regard to additional clinical requirements and legal clearances.
Immunization Requirements FAQ
Frequently Asked Questions about Immunization Requirements.
This is a two-step process. Please follow instructions for each step carefully and complete them in the following order to ensure that your records are processed without delay. All documentation must be in English.
Duquesne University Immunization Verification Form
Step 1: Take the Duquesne University Immunization Verification Form to your healthcare provider for completion.
The form must contain the required immunization information as well as the provider's signature, title, date, address, and organization stamp.
Forms submitted with missing required information or which otherwise demonstrate non-adherence to immunization requirement specifications will be deemed non-compliant.
Recommended immunization dates should also be provided as requested. A physical examination is not required for admission to Duquesne University.
Step 2: With your unique university issued credentials (student Duquesne Portal user name) and multipass password (that you have created):
- Log into Duquesne Portal - then the Health Service Student Portal - then upload an image of the completed Immunization Verification Form (in English)
- Select the Immunization Upload option from either "Upload" area in the portal. Acceptable image file types are: png, jpg, jpeg, and gif. Pdf files are not acceptable due to security reasons. Keep the original document in your home records.
- MMR: (Measles/Mumps/Rubella) All students born after 1956 (without lab-test evidence of disease) must provide immunization dates of two MMR doses.
- Meningitis Quadrivalent Vaccine (conjugate or polysaccharide) is required for entering freshmen students at Duquesne University. Some familiar names of this vaccine are Menactra (MCV4), Menveo (MCV4), and Menomune (MPSV4).
First, make sure you are trying to upload an image file. We accept png, jpg, jpeg, and gif image files that are less the 4MB in size. You may also want to clear your browser cache and cookies or try using a different browser.
If you are not successful or encounter any technical issues with the online submission process, please email DU Health and include the following information: details of the error message you are receiving, a screenshot (if possible), the name of the internet browser you are using (i.e. Explorer, Safari, Chrome, Firefox), and type of device (i.e. desktop computer, iPad, iMac, mobile phone). Also, please include your name and birthdate.
Please upload your official childhood immunization form, enter the vaccination dates, and Duquesne University Health Services Staff will review it.
If you cannot obtain a translated copy, please upload your official childhood immunization form, enter the vaccination dates, and Duquesne University Health Services Staff will review it.