Medical Forms

The following medical forms are required by all undergraduate students admitted to FPU. Please fill out the Medical Questionnaire and the TB Questionaire and return to ipso@fresno.edu before your departure to Fresno.

Required Immunizations

  1. Completed Polio Series - 3 doses of OPV or 4 doses of IPV or 4 doses of any combination of OPV and IPV (The last dose must have been given on or after the fourth birthday.). 
  2. Completed Tetanus Series - 4 doses (The last dose must have been at or after 12 months of age). 
  3. Tetanus booster - within last 10 years (Tdap booster, containing tetanus and reduced diphtheria toxoids and acellular pertussis strongly recommended) 
  4. Measles/Mumps/Rubella - 2 doses (The last dose must have been after age 12 months.) 
  5. Meningococcal Vaccine (MCV4) (2 doses if 1st dose was given at age 15 or younger) 

Students must show proof of the above immunizations OR complete a signed Statement of Decline.

In addition to the above immunization requirements, international students must submit a negative Tuberculin Skin Test PPD (Mantoux) within the past 12 months (tine or monovac are not acceptable). For a positive PPD, a chest x-ray is required. Please attach a copy of your skin test/x-ray results with your immunization records.