Health Requirements

Effective Spring 2023


The University of Hawai’i has partnered with Med+Proctor for the submission of all health immunization records. Please go to for step-by-step instructions on how to set up a Med+Proctor account and submit your health clearances.

** NOTE: YOU DO NOT NEED TO PAY FOR MED+PROCTOR SERVICES. However, students may opt in to a Med+Proctor membership for a one-time fee of $10. Membership provides lifetime access to your TB and immunization data. If you do not wish to take advantage of the membership, when asked to submit your records, choose the gray button at the bottom, which says “No, thank you. I do not want access to my documents.”

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The State of Hawaiʻi mandates that  all students meet examination and immunization requirements before they attend any post-secondary school in the state.  All students must comply with health clearance requirements by completing the Health Clearance Form. 

Health Clearance Form

Health clearances must bear the signature of the U.S. licensed practitioner, stamp, or imprinted name of the practitioner or name of licensed facility. A practitioner is a physician, advanced practice registered nurse (APRN), or physician assistant (PA) licensed to practice in the United States.

Note: Health forms will not be accepted if signed by a Pharmacist. If immunization is received at a Pharmacy, the Department of Health recommends that you take the immunization card to your physician to verify the information and certify (sign) the health clearance form.

Registration for in-person classes will not be permitted without health clearances.


  • Clearance must be issued within 12 months before the first day of instruction OR at age 16 years or older.
  • The examination may be a tuberculin skin test, risk assessment or chest x-ray.

Free tuberculosis skin tests and risk assessments are offered to the general public at the Lihu`e Health Center (808) 241-3387. Appointments required. 


  • Two (2) Measles Mumps Rubella (MMR) vaccines .
  • The MMR requirement is not required for students born prior to 1957.
  • Titers are not acceptable.


  • Two (2) Varicella vaccines or history of the disease are required.
  • Students born in the United States prior to 1980 are exempt from this immunization requirement.
  • Titers are not acceptable.


  • One (1) Tdap vaccine is required.
  • Titers are not acceptable.

Persons claiming a religious exemption to immunization requirements must sign the following form: Religious Exemption Form for All Other Immunizations. There are NO religious exemptions to the Tuberculosis clearance requirement.

Persons claiming a medical exemption to immunization requirements must have their physician sign the Medical Exemption Form.