Are you in compliance?
North Carolina State Law (General Statutes §130A 152–157) requires that all students entering college present a certificate of immunization that documents that the student has received all immunizations required by law. While your state or country of origin may have different immunization requirements, you must comply with North Carolina laws and Duke requirements.
Steps For Immunization Compliance
STEP 1: Complete the online Tuberculosis Screening Questionnaire.
STEP 2: You will receive an email after completing the questionnaire. Print the PDF and follow the instructions provided.
STEP 3: If you will be under the age of 18 on August 1, 2025, your guardian will need to complete the Minor Consent to Treat Form. Upload the signed form to the Student Health Gateway under the Medical Clearances – Immunization Reqs Form update button. Incoming first year students are also required to complete the Health History Questionnaire.
STEP 4: Have a doctor’s office, clinic or health department complete the correct Mandatory Immunization Requirements Form below. Forms cannot be signed by family members.
- Immunization Requirements for Undergraduate Students
- Immunization Requirements for Graduate Students
- Immunization Requirements for Health Science Students
STEP 5: Log into the Student Health Gateway.
- Click Medical Clearances. Under Items Required for Clearance, enter the date(s) you received your vaccines under each update button.
- Click on the Immunization Requirements Form update button and upload your signed Mandatory Immunization Form and your TB Screening Questionnaire (along with any additional testing or documents if applicable), and your Minor Consent to Treat Form if applicable.
- If unable to upload, fax documents to 1-919-681-7386.
STEP 6: Monitor your Duke Email. Communications regarding your compliance status can be found by logging into the Student Health Gateway and clicking on “Messages” on the left tool bar. Your Duke email will notify you when a new message has been sent.
STEP 7: Register after July 1 for your My Duke Health.
The following immunizations are required for Duke undergraduate students:
Name of Vaccine | Number of Doses Required |
|---|---|
| Hepatitis B (if born after 7/1/94 & for all health science students) | 2 or 3 Doses depending on brand |
| Measles | 2 Doses |
| Meningococcal ACWY (if born after 1/1/2003) | 1 Dose (after 16th birthday) |
| Mumps | 2 Doses |
| Polio | 3 Doses (if younger than 18 years old) |
| Rubella | 1 Dose |
| TD/DTAP/TDAP | 3 Doses (one TDAP in the last 10 years) |
| Varicella (if born after 4/1/01 and for all health science students) | 2 Doses or positive IgG titer |
Graduate students and health science students should refer to their respective immunization forms, which can be found by clicking on the Steps for Immunization Compliance tab above.
Deadline to submit immunization records:
- Fall Admission: June 15 (Deadline for Nursing and MBS Students is May 7th)
- Spring Admission: December 15
- Summer Admission: June 1
Records must be submitted by the deadline above. Once you submit your form, our team will provide guidance on additional steps that may be needed, including additional vaccines or testing.
Failure to meet all requirements by August 7 for those students starting in the summer and by Sept 22 for those students starting in the fall may lead to withdrawal from classes and limited access to Duke resources.
Immunization Requirements FAQ
If you have further questions please check out our Immunization Requirements Frequently Asked Questions.