Requirements

All medical records must: 

  1. Be legible and in English (original documentation may be in a foreign language with translation attached).
  2. Show patient name and date of birth consistent with an official government ID (i.e. passport or driver’s license). 
  3. Show medical clinic, pharmacy, or laboratory contact information. 
    1. The Figure 1 vaccine record below meets documented proof of immunity requirements. 
    2. The Figure 2 vaccine record below does not meet documented proof of immunity requirements. 
  4. Lab results must be on an official report indicating that the result shows immunity to measles (rubeola). 
  5. Vaccine records must show: 
    1. The vaccine provided. 
    2. The number of doses. 
    3. The date(s) provided. 
    4. Meet the recommended dosing schedule for immunity.
  6. International travelers, K-12 dependents, undergraduate students, and healthcare workers require two documented doses of MMR vaccine. 
  7. Others, such as short-term program summer students and employees who do not fall into the categories above require one documented dose of MMR vaccine. (These may include Language Schools, BLSE, Writers’ Conference, etc.). 
  8. Verbal reports of vaccination without written documentation will not be accepted as presumptive evidence of immunity. 

Figure 1

Following is an example of a vaccine record that meets documented proof of immunity requirements:

Here is an example of a vaccine record that meets documented proof of immunity requirements.

Figure 2 

Following is an example of a vaccine record that does not meet documented proof of immunity requirements:

Here is an example of a vaccine record does not meet documented proof of immunity requirements.