Immunization Policy

Immunization Requirements for Students

Pre-matriculation Immunization Requirements

Continuing Students Immunization Requirements

All students accepted and matriculated into Touro University California’s Joint Master of Physician Assistant Studies/Master of Public Health Program, Independent Master of Public Health Program, College of Osteopathic Medicine, and College of Pharmacy are required to be vaccinated and to have a health history and physical examination documented and on file in the Student Health Center. If you have any questions about the health requirements at Touro University California please contact:

Student Health Center
Building H-89, Suite 1537
1310 Club Drive Mare Island Vallejo, CA 94592
Phone: (707) 638-5220
24hr Mental Health Hotline: (707) 638-5292
Fax: (707) 638-5261
E-Mail: tuc.studenthealth@tu.edu

Pre-matriculation Immunization Requirements for Entering Students

Students entering the Doctor of Osteopathic Medicine (COM), Doctor of Pharmacy(COP), the Joint Master of Science in Physician Assistant Studies/Master of Public Health (PA) or the Master of Science in Nursing (SON) programs are required to create an account with CastleBranch and upload documentation of the specific immunization and health requirements of their respective programs within 60 days of their acceptance letter with the exception of TB clearance testing (program) and flu vaccinations (due in November).

All programs have similar basic health requirements that include a physical exam, a recent Tdap vaccination, documents for TB (tuberculosis) clearance and proof of immunity to communicable diseases with positive laboratory titers for measles, mumps, rubella, varicella and hepatitis B. Most programs require quantitative lab titers. Click on your program requirements below to learn more then create an account on CastleBranch and follow the directions.

College of Osteopathic Medicine

College of Pharmacy

Joint Master of Science in Physician Assistant Studies/Master of Public Health

About CastleBranch

CastleBranch(CB) is a secure platform that allows students to store their health documents in a Medical Document Manager online. Once you create an account you will be able to upload your immunizations, serum titers, health documents, and chest x-ray results into your Medical Document Manager. CastleBranch(CB) will review your documents and inform you of any discrepancies with your program's requirements. Students must obtain pre-matriculation health requirements and maintain compliance with their program's immunization and health requirements through out their education at Touro University California. In the future, students will use their CB account to order a background check required by your program and paid by Touro University, California. When this will occur depends on your specific program. Instructions on how to create a profile is listed below.

Getting Started

Download forms located on the Student Health Forms webpage or located on your CB account. Complete forms A and F and upload to your CB account. Make an appointment with your primary care provider (PCP) for a physical exam and to obtain serum laboratory titers. Ask your physician's office if you can obtain your lab titers before your physical exam. This way, if your labs are negative or equivocal your PCP can restart your vaccination series on your appointment date. If you will be attending the COM, COP or PA program, please inform your PCP that you will need quantitative lab titers. The lab CPT(Current Procedure Terminology) codes for these test are listed below. Some labs, such as Quest, like to use their own in house codes that correlate with the CPT codes. If your provider uses Quest labs I have listed their in house codes for convenience.

	CPT Codes	Quest Lab Codes
Quantitative Hepatitis B Surface Antibody titer	86317	8475X
Quantitative Measles(Rubeola) Antibody titer	86765	964X
Quantitative Mumps Antibody titer	86735	8624X
Quantitative Rubella Antibody titer	86762	802X
Quantitative Varicella Antibody titer	86787	4439X

About Laboratory Titers

Tell your doctor's office you will be attending a clinical health program that requires quantitative laboratory reports of titers to specific communicable diseases. Quantitative laboratory results are reported in numerical values. Results indicating "positive", "immune" or "reactive" are qualitative results and will not be accepted in the COM, COP and PA programs. The reports must be on lab letterhead that can only be obtained directly from your PCP. Students who are unable to obtain quantitative titers through their PCP may need to go elsewhere and pay for these labs test out of pocket.

Students with negative, equivocal or low titers for a communicable disease are required to restart the respective vaccination series and obtain a subsequent quantitative titer 30 days to 6 weeks after their last vaccination. Students who are restarting a vaccinations series must follow the recommended vaccination schedule of the manufacturer and upload documentation they have received the vaccinations to CB.

It can take 3-7 months to restart a vaccination series and obtain repeat quantitative titers therefore we encourage you to get started as soon as possible. Students without positive quantitative titers to infectious diseases may be precluded from attending early clinical experiences starting within the first few weeks of school.

Personal Information Requirements to Create Your Profile

Specific personal information is required to create your CastleBranch account including your full name, date of birth, current address, phone number and email address.

Payment Information

Payment can be made with Visa or MasterCard. Money orders are also accepted but will result in a $10 fee and a longer turn-around time. Any required background checks and mandatory drug testing will be invoiced to and paid by Touro University.

Create Your Profile:

Click on CastleBranch https://portal.castlebranch.com/TL79
Select your program from the drop down menu.
Select "Place Order" button.
Select the Medical Document Manager
Review the contents of your package, then check the box at the end of the text indicating that you have read, understand and agree to the terms and conditions.
Click on the "Continue to Order" orange button to set up your CastleBranch account.

For more detailed information or help with setting up your account, please call the CastleBranch Service Desk at 888-723-4263 ext. 7196 which is available 5:00 am to 5:00 pm or email CastleBranch at servicedesk.cu@castlebranch.com.

You may also contact Student Health at 707-638-5220 or by email at tuc.studenthealth@tu.edu.

Immunizations and titers are not required for the Master of Public Health or the Master of Science in Medical Health Sciences programs however if you are attending the COM, COP or PA program at the same time you will need to follow the requirements of these programs.

College of Osteopathic Medicine Pre-Matriculation Immunization and Health Requirements

A complete Physical Examination including a Health History and proof of immunity to communicable diseases through serum blood titers is mandatory and required prior to matriculation at Touro University California. Below is a list of the health requirements of students entering the College of Osteopathic Medicine.

Hepatitis B – Series requested and Quantitative Hepatitis B Surface Antibody Titer required
Measles (Rubeola) – Series requested and positive Quantitative Antibody titer required
Mumps –Series requested and positive Quantitative antibody titer required
Rubella – Series requested and positive Quantitative antibody titer required
Varicella (chicken pox) – Series/disease date requested and positive Quantitative antibody titer required
TDAP – tetanus/diphtheria/acellular pertussis booster administered within past 10 years.
COVID-19 – Documentation of a completed Pfizer or Moderna two shot series or Johnson and Johnson vaccination.
Physical Examination – All areas on FORM B must be filled in and completed. The PE must be administered within the past 12 months, signed and dated by your PCP or medical professional. The PE is required annually with a renewal date 1 year from the date of the last exam.
Initial TB Screen & Symptom Survey, Form C - Submit a symptom free Initial TB Screen & Symptom Survey administered within the past 6 months.
Tuberculosis - TB documents must be administered within the last 12 months and renewed annually. Entering students must submit one of the following:
- Negative one-step PPD skin test (completed between 7/01 and 8/01 of the current year). Results must be documented in mm of induration and include the date with time placed and read. Please use Form D. The document must be stamped by the provider or clinic providing the service. OR
- Negative QuantiFERON TB Gold blood test OR
- Negative T-Spot blood test OR
- If positive, submit all of the following:
  - Negative chest X-ray report administered within the past 6 months ( A negative CXR report is required upon entrance of 1 st and 3rd year) AND
  - Documentation of the past positive PPD test AND
  - Documentation of INH Therapy OR a Negative IGRA blood test
  - Documentation MUST be submitted on the Form C available for download for this requirement.
  - ( There are additional 2 Step PPD Requirements for 2nd Year Students in the College of Osteopathic Medicine)

The following is a list of all required health related documents

Form A - Student Information
Form B - Physical Examination and Medical History - This form must be signed by your Health Care Provider
Form C - Initial TB Screen and Symptom Survey - If you have a history of positive PPD or IGRA test this form must be signed by your provider
Form F - Authorization for Release of Communicable Disease Clearance Information to Clinical Rotation - Please be sure to sign for clinical rotations
Immunization Records - (copies preferred) Please make sure your name is on the document. Clear and legible copies of your immunizations only will be accepted (aka, vaccination, shot, or childhood disease records).
Laboratory Results (serum blood titers) -Titers can be no more than 5 years old, must be reported in quantitative results and on laboratory letterhead.
Health Insurance – All students are required to have Health Insurance that complies with Touro requirements. Please see information on the Student Health Insurance Webpage! You may sign up for the Student Health Insurance Plan or use your personal Touro-compliant Health Insurance. You must submit documentation of your current health insurance card OR proof of coverage. Both sides of your card are required by 8/01 of your first year. Please see further information about Health Insurance on the Student Health Insurance webpage.

Upon Matriculation

Flu Vaccine – An influenza vaccination is required for the current season during the year of matriculation by November 1st then it is required annually by November 1st . Student Health provides free mandatory annual flu vaccinations in mid to late October.
BLS CPR Certification – First year students will attend BLS CPR classes on campus during their first year after matriculation and may upload this information to their Certified Profile account when completed.

All forms A through F including all immunization records and serum titers must be submitted to Certified Profile no later than 60 days after your acceptance letter. Clear and legible copies of your immunizations only will be accepted (aka, vaccination, shot, or childhood disease records). Any additional protected health information (PHI) will be handled in compliance with HIPAA regulations.

You may obtain required forms by going to the Student Health Forms webpage or to the Certified Profile website.

For more detailed information about requirements or further questions about requirements, the CastleBranch Service Desk at 888-723-4263 ext. 7196 which is available 5:00 am to 5:00 pm or email CastleBranch at servicedesk.cu@castlebranch.com.

You may also contact:

Student Health Center
1310 Club Drive
Bldg. H-89 Suite 1537
Vallejo, CA 94592
E-mail: tuc.studenthealth@tu.edu
Phone: 707-638-5220 Fax: 707-638-5261

College of Pharmacy Pre-matriculation Immunization and Health Requirements

Hepatitis B – Series requested and Quantitative Hepatitis B Surface Antibody Titer required
Measles (Rubeola) – Series requested and positive Quantitative Antibody titer required
Mumps –Series requested and positive Quantitative antibody titer required
Rubella – Series requested and positive Quantitative antibody titer required
Varicella (chicken pox) – Series/disease date requested and positive Quantitative antibody titer required
TDAP - tetanus/diphtheria/acellular pertussis booster administered within past 10 years.
COVID-19 – Documentation of a completed Pfizer or Moderna two shot series or Johnson and Johnson vaccination.
Physical Examination – All areas on FORM B must be filled in and completed. The PE must be administered within the past 6 months, signed and dated by your PCP or medical professional.
Tuberculosis - TB documents must be administered within the last 12 months. Entering students must submit one of the following:
- Negative two-step PPD skin test administered 1-3 weeks apart completed between 06/01 - 06/25 of the current year. Results must be in mm of induration and include the date with time placed and read. Please use Form D. The document must be stamped by the provider or clinic providing the service. OR
- If positive, submit ALL of the following:
  - Documentation of the past positive PPD
  - Symptom free TB questionnaire administered within the past 12 months AND
  - MUST be submitted on the school form available for download
  - Clear chest x-ray report administered within the past 12 months AND
  - Negative QuantiFERON TB Gold test results OR Documentation of INH Therapy treatment
TB Renewal date will be set to 1 year. Renewal MUST be submitted by 06/30. Upon renewal, submit one of the following:
- Negative two-step skin test
- Test #1 must be read 48-72 hours after test is placed. Test #2 must be placed in opposite arm 7-10 days after Test #1 and read within 48 to 72 hours
- If positive, submit the following:
  - Symptom free TB questionnaire submitted on the school form.
  - If newly positive, submit all documentation required for original submission.
  - Photos are NOT acceptable.

The following is a list of all required health related documents.

Form A - Student Information
Form B - Physical Examination and Medical History - This form must be signed by your Health Care Provider
Form C - Initial TB Screen and Symptom Survey - If you have a history of positive PPD or IGRA test this form must be signed by your provider
Form F - Authorization for Release of Communicable Disease Clearance Information to Clinical Rotation - Please be sure to sign for clinical rotations
Immunization Records - (copies preferred) Make sure your name is on the document. Clear and legible copies of your immunizations only will be accepted (aka, vaccination, shot, or childhood disease records).
Laboratory Results (serum blood titers) -Titers can be no more than 5 years old and must be on laboratory letterhead. Forms A through F including all immunization records and serum titers must uploaded to Certified Profile no later than 60 days post acceptance.
Health Insurance – All students are required to have Health Insurance that complies with Touro requirements. Please see information on the Student Health Insurance Webpage! You may sign up for the Student Health Insurance Plan or use your personal Touro-compliant Health Insurance. You must submit documentation of your current health insurance card OR proof of coverage. Both sides of your card are required by 8/01 of your first year. Please see further information about Health Insurance on the Student Health Insurance webpage.

Upon Matriculation

Flu Vaccine – An influenza vaccination is required for the current season during the year of matriculation by November 1st then it is required annually by November 1st . Student Health provides free mandatory annual flu vaccinations in mid to late October.
BLS CPR Certification – First year students will attend BLS CPR classes on campus during their first year after matriculation and may upload this information to their Certified Profile account when completed.
Professional License - Submit your current Intern Pharmacist license. Renewal date will be set based on the expiration of license.

You may obtain required forms by going to the Student Health Forms webpage or to the Certified Profile website.

You may also contact:

Student Health Center
1310 Club Drive
Bldg. H-89 Suite 1537
Vallejo, CA 94592
E-mail: tuc.studenthealth@tu.edu
Phone: 707-638-5220 Fax: 707-638-5261

Joint MSPAS/MPH Pre-matriculation Immunization and Health Requirements

The following are required prior to matriculation in the Joint MSPAS/MPH Program. These requirements apply to the Class of 2022 and subsequent classes. Please note that photographs of documents (using a camera function) will not be accepted. All TUC forms referenced below can be obtained at the TouroOne Portal.

Quantitative antibody titers for each of the following:

Measles
Mumps
Rubella
Varicella (Chicken Pox)
Hepatitis B

Submit documentation of a Quantitative antibody titer within the past 5 years for each of the above. (Lab report or physician verification required.) If one or more of the titers is negative or equivocal, a new alert will be created for you to repeat the series. (2 dose vaccine series for Measles, Mumps, Rubella or Varicella, 3 dose vaccine series for Hepatitis B.) Obtain a new titer 4 to 6 weeks after your last dose of the vaccine you are repeating. If the series is in the process, submit where you are and a new alert will be created for you to complete the series and titer. If you continue to have a negative titer after properly completing a vaccine series twice, you must submit documentation from a medical provider or from Student Health that you are a non-responder. You must continue to be up to date with your titers while enrolled in the Program.

COVID-19 – Documentation of a completed Pfizer or Moderna two shot series or Johnson and Johnson vaccination.

Tuberculosis (TB)

If no documented history of positive Latent TB test (PPD or IGRA), submit documentation of the following, administered within the past 9 months:

FORM C – Initial TB Symptom Survey (no need for medical provider if you have never had a positive PPD or IGRA test) AND DOCUMENTATION OF ONE of the FOLLOWING:

Negative two-step PPD skin test administered 1-3 weeks apart (Form D) OR

Two negative single step tests with at least one of them being administered within the last 9 months and both within the last 12 months ( Form D) OR

Negative Interferon Gamma Release Assay (IGRA) blood test (IGRA is required test for anyone with a history of receiving the BCG vaccine. (Lab report)

If documented history of positive latent TB test (PPD or IGRA), or if the above TB testing is positive, submit ALL of the following using Forms C and D when appropriate:

Documentation of the past positive test. AND

Clear Chest x-ray report within the past 6 months. AND

Form C- Initial TB Symptom Survey. (Must be signed by medical provider if you have ever had a positive PPD or IGRA test.) AND

Documentation of one of the following:

Latent TB treatment OR

Documentation from a medical provider (MD/ DO/NP/PA) that treatment for TB infection has been discussed.

Additional information:

TB skin test results must be read within 48 to 72 hours of placement and must be recorded in mm of induration.

If testing is “indeterminate” repeat the test. If repeat test is still ”indeterminate” get the other test. (If first two tests were PPD, get the IGRA.)

Renewal will be set for 1 year.

All documentation must be submitted on Forms C and D. (D form for submitting PPD results).

Tetanus, Diphtheria, & Pertussis (T-Dap)

Submit documentation of T-Dap booster administered within the last 10 years. You must remain current with either T-Dap or TD during your enrollment at Touro (within 10 years).

Polio

Do you have documentation of your primary series for Polio (At least three vaccinations)?

Yes: Submit your vaccine series.

No: This requirement will be marked completed.

Forms

Forms are available on the TouroOne Portal.

Form A: Student Information. Complete, sign (legible signature) is legal document.

Form B: History and Physical. Complete and signed by medical professional within the past 12 months. Renewal date set to December 15th of second school year. Must be completed between December 15th and February 1st .

Form C: Initial TB Symptom Survey. All students must complete and submit this form, but only those with a history of positive PPD or IGRA test must have their form signed by a medical provider. Updated 6.30.2021

Form D: PPD. Submit Form D completed and signed by a medical professional if your latent TB testing is done with PPDs (those submitting IGRA results only do not need to submit this form).

FORM F: Consent for Student Health to maintain health information and release of information to Clinical Rotations. Complete, sign, and submit Form F to complete this requirement.

Continuing Students Immunization & Health Requirements

Health Requirements during years 2-4 of Enrollment in COM, COP and PA Programs Below you will find the ongoing immunization and health requirements for students in the COM, COP and PA programs. Please note, in addition to requirements for second year COM students, third year COM students may have special immunization, Titer and health recommendations when applying with the Visiting Student Application Service (VSAS).

Continuing Osteopathic Medicine Students Ongoing Health Requirements

Annual Flu Vaccine
Annual Physical Examination

TB Clearance- * Applies ONLY to Class of 2020 and Beyond

Mandatory Annual 2 Step PPD during 2nd Year (OMS-2)
Annual One Step PPD or Negative QuantiFERON TB Gold Blood Test completed during 3rd and 4th year of enrollment (OMS-3 and OMS-4)
If you have a documented positive PPD the following must be completed:
- Annual TB Symptom Survey
- Updated Chest X-Ray - due at 1st and 3rd year (completed every other year and updated prior to the start of 3rd year Rotations)

Annual 2 Step PPD *Applies to Class of 2019 Only
If you have a documented positive PPD the following must be completed:
- Annual TB Symptom Survey
- Updated Chest X-Ray - due at 1st and 3rd year (completed every other year and updated prior to the start of 3rd year Rotations)

Osteopathic Medicine 3rd year Recommendations for VSAS (Visiting Student Application Service *Association of American Medical College)

Updated Meningococcal Vaccine (completed within 5 years of 3rd year)
Adult Polio Vaccine Booster
Proof of childhood vaccinations: M-M-R (Measles/Mumps/Rubella), Hepatitis B, Hepatitis A, DPT & Polio
Completed Hepatitis A Vaccine Series (2 dose series)
Hepatitis C Screening Titer
Hepatitis B Core Antibody Titer
Hepatitis B Surface Antigen Titer

Continuing College of Pharmacy Students Ongoing Health Requirements

Annual Flu Vaccine
Annual 2 Step PPD

If you have a documented positive PPD the following must be completed:

Annual TB Symptom Survey

Continuing Students in the Joint Master of Physician Studies and Master of Public Health Program Ongoing Health Requirements

Annual PPD/TB Clearance
- One Step PPD must completed within 1 year (12 months) of your most recent PPD. If it has been more than 1 year (12 months) from your most recent PPD the student is required to repeat the 2 Step PPD.
If you have a documented positive PPD the following must be completed:
- Annual TB Symptom Survey
- Updated Chest X-Ray
  - must be performed between January 1st- February 14th of the second school year prior to the start of Rotations
Annual Flu Vaccine
- Due November 15th of each year starting in year 1
Updated Physical Examination
- completed between January 1st- February 1st during 2nd year of enrollment prior to the start of rotations