University Health and Counseling Services

Immunization Information

***Submission of the required immunization records is needed prior to registering for classes.***  


The Maine Post-Secondary School Immunization Law requires that all  students taking at least one class and born after 1956 show proof of the following immunizations to be able to register for classes:

  •  ·   One dose of Tetanus/Diphtheria (TD) or Tetanus/ Diphtheria/ Pertussis (Tdap) given within the last 10 years.
  •  ·   Two doses of Measles, Mumps and Rubella (MMR) given after (not on) first birthday and given after December 31, 1956.

 The university needs a signed or stamped record of these immunizations from your high school, college, military base or private health care provider.
There is an "Immunization Form" which is available for you to download.  You can bring this form to your health provider, have them fill it out, sign, and then fax to Health and Counseling Services. 

If these records are not received prior to October 1st, an academic hold will be placed on your student account and you will not be able to register for spring courses until the records are submitted in full.  If you do not have access to these records you have a couple options.  

1. Receive new Tetanus and MMR shots from your doctor or here at Health and Counseling Services on the Gorham campus.  

2. Receive a new Tetanus shot and have a titer blood draw to prove immunity to Measles, Mumps, and Rubella from your doctor or here at Health and Counseling Services on the Gorham campus.


If you were born prior to December 31, 1956 you do not need to submit these records.

If you have not been vaccinated and therefore can not provide proof of immunizations due to moral, political or religious beliefs.  In this case, you may download our "Objection Letter" and submit that in place of the records.

Please be aware that students who choose one of these exemptions to not provide proof of immunity will be excluded from attending classes or participating in campus activities during the duration of an outbreak of measles, mumps, rubella, or diphtheria occurs.

Documentation of these immunization records should be sent to:

University Health and Counseling Services
37 College Avenue
100 Upton Hall
Gorham Maine 04038

Fax to: 207-780-4911