Satish & Yasmin Gupta College of Business Bacterial Meningitis Vaccination Record
Effective January 1, 2012, Texas House Bill SB1107 requires entering students to provide evidence of vaccination against bacterial meningitis during the five-year period preceding, or at least 10 days prior to, the first day
of the first term.
Entering student is defined by the Texas Higher Education Coordination Board as:
- a new or transfer student enrolling at the institution for the first time
- a returning student who was enrolled at the institution prior to January 1, 2012,
and is returning to enroll following a break in enrollment of at least one fall or
one spring term.
The following are exempt from the immunization requirement:
- any student 22 years of age or older on the first day of the term
- any student enrolled in only online courses, distance education courses, or continuing
education corporate training courses
WAIVER OF IMMUNIZATION
Students who wish to be exempt from the vaccination may submit:
- A letter signed by a physician who is duly registered and licensed to practice medicine
in the United States, in which it is stated that, in the physician's opinion, the
vaccination required would be injurious to the health and well being of the student. Please
submit this form to your doctor for signature: Medical Exemption Form (PDF)
- An affidavit signed by the student stating that the student declines the vaccination
for bacterial meningitis for reasons of conscience, including a religious belief.
Students residing in campus housing must submit a conscientious exemption form from
the Texas Department of State Health Services, which may be obtained here.
- Form takes approximately two weeks to receive from the state
- Students over the age of 18 may complete the form by listing their name as both the
parent and student
- Student must submit original notarized affidavit
Students living off-campus may print the affidavit form from the Texas Higher Education
Coordinating Board, which may be obtained here.
- Students over the age of 18 may complete the form
- Student must submit the original notarized affidavit
Verification of intent to enroll in online-only courses please submit the Online-Only Verification Form (PDF)
ACCEPTABLE VERIFICATION OF IMMUNIZATION
- A document bearing the signature or stamp of the physician or his/her designee, or
public health personnel (must include the month, day, and year the vaccination was
administered).
Please submit this form to your doctor for signature OR use as a cover letter if you
already have a vaccination record: Bacterial Meningitis Vaccination Form (PDF).
- An official immunization record generated from a state or local health authority (must
include the month, day, and year the vaccination was administered).
Please submit this form to your doctor for signature OR use as a cover letter if you
already have a vaccination record: Bacterial Meningitis Vaccination Form (PDF).
- An official record received from school officials, including a record from another
state (must include the month, day, and year the vaccination was administered).
Please use this form as a cover letter: Bacterial Meningitis Vaccination Form (PDF).
IMMUNIZATION LOCATIONS
Students may request the meningitis vaccination at the UD Health Center by calling
972.721.5322 or emailing Dr. Lora Rodriguez. The cost of the meningitis vaccination is $150. Please visit the UD Health Center website for additional details.
The following locations are not endorsed by the University of Dallas and are merely
provided as a courtesy.
Walgreens
CVS Minute Clinic
CareNow Clinic
Dallas County Health & Human Services: call 214.819.2101 to see if the $10 vaccine is available; otherwise $150
Questions? Call 972-721-5004
To submit your documentation by mail or fax:
University of Dallas
Graduate School of Management Admissions Office
1845 E. Northgate Drive
Irving, TX 75062
Fax: 972-721-4009
