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 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.

NOTE: ANY medical records brought from your country MUST be translated into English.

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.

Learn More

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.
  1. MMR: (Measles/Mumps/Rubella) All students born after 1956 (without lab-test evidence of disease) must provide immunization dates of two MMR doses.
  2. 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).
Meningitis B Vaccine is not currently required but is recommended. The two names of this vaccine are Trumenba and Bexsero.

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.

Your health care provider can determine if you need the immunizations or if blood tests should be performed to determine immunity. He or she can then enter this information on the required Duquesne Immunization Verification Form.  Duquesne University Centers for Pharmacy Care can provide immunization administration. If you would like to utilize the CPC for care, please call (412) 396-2155 to arrange an appointment. You can have these tests done at the Allegheny County Health Department, or a local provider's office at your own expense if they are not covered by your health insurance.
Due to the variability in coverage by health insurance companies,  please check with your health insurance carrier to see what immunizations are covered and how you can be reimbursed if you receive the immunizations at Duquesne university Centers for Pharmacy Care, or a local provider's office.
No. The Duquesne University Immunization Verification Form is required to be completed, signed, dated, and stamped by a health care professional.

Please upload your official childhood immunization form, enter the vaccination dates, and Duquesne University Health Services Staff will review it.

No. All documentation submitted for immunization compliance must be in English. Contact your healthcare provider for a translated copy.

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.
Non-degree seeking students are not required to submit immunization information; however, non-degree seeking students living in University housing must provide proof of the doses of two MMR immunizations and Meningococcal quadrivalent vaccine and submit the Duquesne University Immunization Verification Form.

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