Proof of Immunity Requirements and Examples
Requirements
All medical records must:
- Be legible and in English (original documentation may be in a foreign language with translation attached).
- Show patient name and date of birth consistent with an official government ID (i.e. passport or driver’s license).
- Show medical clinic, pharmacy, or laboratory contact information.
- Lab results must be on an official report indicating that the result shows immunity to measles (rubeola).
- Vaccine records must show:
- The vaccine provided.
- The number of doses.
- The date(s) provided.
- Meet the recommended dosing schedule for immunity.
- International travelers, K-12 dependents, undergraduate students, and healthcare workers require two documented doses of MMR vaccine.
- 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.).
- 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:

Figure 2
Following is an example of a vaccine record that does not meet documented proof of immunity requirements:
