Incoming International Students


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 good 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:

Choose forms and follow the instructions or go to

Our goal is to receive this information PRIOR to your arrival on campus. Documentation of the immunizations needs to be clear and complete. Please review the details on page 2 regarding each requirement.

Appalachian State University will withdraw you from the university if the immunization requirements are not met.

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.

We understand that email may not be a secure way of communicating. Unless you give us permission, we will not correspond in this manner on the server. A secure email function is located on the Student Health Service MedPortal. ( After you have signed in: Choose “Messages”, then “Compose New”, and then direct the email to the “Immunization Provider.” Our immunization team  will be available to help you.


IMMUNIZATION RECORDS need 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.
  • The month/day/year of the immunization received

LAB REPORTS AND RADIOLOGY REPORTS: may be used to complete some requirements. If a lab report is submitted, then an official and complete report from the laboratory or the radiologist is necessary.

  • These are generated from the lab or the radiologist
  • They contain your name, birth date, the name address and phone number of the lab/radiologist.
  • Lab work must contain numeric values for the normal range of the lab result
  • Lab work must contain the numeric value for the patient’s lab result.


  • Tetanus: 3 doses from anytime in your life. The following also applies:
    • A dose of a tetanus vaccination containing pertussis is required after age 10.
      • The usual abbreviation for the adult tetanus, diphtheria and pertussis (whooping cough) vaccine in the US is Tdap.
      • Brands in the USA: Boostrix and Adacel (Also Revaxis in Europe)
  • 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 may be substituted for the measles, mumps or rubella requirements.)
      • This lab report should contain: See above for the requirements on an official lab report
  • Hepatitis B: 3 doses are required for students born after June 30, 1994.
    • NC law does not allow a lab report showing immunity to fulfill this requirement.
    • Dose #3 should be administered after 6 months of age
    • The preferred schedule for these is at day 0, 1 month and 6 months
  • Polio: 3 doses. This applies only if the student is younger than 18 years of age.
  • Tuberculosis: One of the following within 12 months prior to the first day of class is indicated to fulfill this requirement:
    • A negative tuberculosis skin test (TST), recorded in mm.
    • official lab report of a negative IGRA(Interferon-Gamma Release Assay)(quanteferon gold)
      • See above for the requirements on an official lab report
    • a radiologist report of a Chest X Ray indicating no signs of active or latent tuberculosis.
      • See above for the requirements on an official lab report

For TB Skin Test (TST): The tb skin test results must be recorded in mm.

  • If the results are greater than 10 mm, a chest x ray or negative IGRA test is required.
    • If a Chest X Ray is done Please provide us with a copy of the official radiologist interpretation.
    • OR
  • An official lab report of an IGRA test for tuberculosis (quanteferon gold or T spot)
    • If this test is positive then a Chest X Ray is indicated. Please provide us with a copy of the official radiologist interpretation.
  • If you have a history of taking medication to treat active or latent tuberculosis, 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.

Page content reviewed: 07/01/21 KCS