International Students Attending ASU

Dear Incoming International Student:


We at Appalachian State University Health Service look forward to serving your health needs while you are attending our university.   We understand that your health is a vital part of making your time here successful.  To aid in your success we need information from you about your health history.

 By now, we hope you are aware of the required medical history form and immunizations requested by the university.  These forms can be found on the Health Service web site at:   Our goal is to receive this information prior to your arrival on campus. Documentation of the immunizations needs to be clear and complete.  This means having the month, day and year of when the immunizations were given. 

The immunization record needs to include the following: 

  • your name
  • Appalachian (ASU) Banner ID
  • your date of birth (month/day/year format)
  • the name, address and phone number of the doctor’s office providing the record.
  • Nurse or clinicians signature

 If any lab results or radiology reports are used to complete the records then an official complete report from the laboratory or the radiologist is necessary. 

Required immunizations from international students: 

  • Tetanus: 3 doses from anytime in your life, but one immunization is required to have been received within the last 10 years.
  • Measles:  2 doses given after the student’s first birthday and at least a month apart.
  • Mumps:   2 doses given after the student’s first birthday and at least a month apart.
  • Rubella:  1 dose after the student’s first birthday
    • (An official lab report with numerical values and parameters for positive and negative immunity may be substituted for the measles, mumps or rubella requirements.)
  • Hepatitis B:  3 doses at any time in the student’s life.  This applies only if the student was born on or after July 1, 1994.  A lab report showing immunity is NOT acceptable for this requirement. 
  • Polio:  3 doses.  This applies only if the student is younger than 18 years of age. 
  • Tuberculosis: Results of a IGRA(Interferon-Gamma Release Assay) or a tuberculosis skin test administered within the last 12 months                 
    • For TB Skin Test (TST):  The tb skin test results must be recorded in mm
      • If the results are greater than 15 mm a chest x ray or negative IGRA test is required.
      • If the results are between 10 – 15 mm and you are from a country with a high incidence of tuberculosis (Per WHO:  40 cases per 100,000 or greater at any time in the student’s lifetime) or you have any symptoms of tuberculosis then the chest x ray or negative IGRA test is also required.
        • If a Chest X Ray is done, we will need a copy of the radiologist report. 


    • An official lab report of an IGRA test for tuberculosis (quanteferon gold or  T spot)
      • The numerical values and parameters for positive and negative should be recorded on the lab report. 
        • If this test is positive then a Chest X Ray is indicated.  Please provide us with a copy of the radiologist interpretation. 
    • If you have a history of taking medication to treat tuberculosis for 9 months to 1 year we need documentation of this. 
    • Having received a vaccination for tuberculosis at any time in your life does not alter the requirement of getting a tuberculosis skin test.

We realize that some of Appalachian’s requirements are different than your countries’ requirements and this may be confusing.  However, that does not change the immunizations that are required for you here in North Carolina.  We understand that completing these requirements is not always possible in your home country.  We can help complete any deficiencies in these requirements during your first weeks here at Appalachian.  You will be charged a fee for the necessary immunizations.   Your personal medical insurance may or may not cover cost incurred from immunizations or tests at our Student Health Service.   

Cost of Vaccines that we administer:

  • Hepatitis B:  $35
  • MMR: $55 (Measles, Mumps, & Rubella) 
  • Tdap: $35 (Tetanus, diphtheria, & pertussis)
  • Tuberculin skin test (tst):  free
  • IGRA test:  Quanterferon Gold:  $65
  • Chest X Ray: $42, if this is needed after a positive TST or IGRA lab result

Your insurance may or may not cover any expenses incurred at ASU Student Health Service.

Please Note: Prices are subject to change without prior notice!


We understand that email is not a secure way of communication.  Unless you give us permission, we will not correspond in this manner.   We request that you either grant us the permission to discuss by email your medical history form and needed immunizations or that you call us to discuss this (828-262-3100).  Our hours here are 8:00 am – 4 pm, Monday – Friday with the exception of beginning work on Wednesdays at 9:00 am.  Our immunization secretary, Nicole Shoemaker (  or our immunization nurse, Jill Venable RN ( will be available to help you.


Page content reviewed: 6/1/15 kal; updated 1/30/17 fwg

Contact Us

Contact the Director

Miles Annas Building
PO Box 32070
614 Howard Street
Boone, North Carolina 28608

Main: (828) 262-3100
Appointments: (828) 262-6577
Insurance: (828) 262-7463
Medical Records: (828) 262-6578
Laboratory: (828) 262-6956

Fax: (828) 262-6958

Fall Clinic Hours:
Monday - Friday
(except Wednesday):
8:00 am - 4:00 pm
Wednesday: 9:00 am - 4:00 pm

Fall Weekends:  Limited Services:
Saturday:  10:00 AM - 2:00 PM
Sunday:  1:00 PM - 5:00 PM

Pharmacy is CLOSED on weekends and during Semester Breaks

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