Immunization Forms

Certificate of Immunization

All new regularly admitted undergraduate and graduate students will be required to submit a Certificate of Immunization prior to attending classes.

Students who have previously attended a state public college/university are not exempt from this updated, revised immunization requirement.

The University System of Georgia [Board of Regents Policy 408.02] requires that all students provide proof of immunity to measles, mumps and rubella. Effective January 2005, new students are also required to provide proof of immunization to varicella (chicken pox), tetanus, diphtheria and, if 18 years of age or less at the time of classes, hepatitis B. The purpose of this policy is to ensure that students are protected against communicable diseases that are preventable and to reduce the likelihood of an epidemic or threatened epidemic on a Georgia public college/university campus.

Although admission decisions will be made without the UNG Certificate of Immunization form students will need to provide the required proof of immunization in order to remain enrolled in first semester courses. We strongly encourage students submit proof of immunization at least a month prior to the start of their first semester at UNG in case an updated immunization is needed.

Immunization records can be submitted electronically via the Student Health Services Patient Portal. Download the UNG Immunization Requirement Submission Instructions (PDF) for more information.

Contact the appropriate Student Health office for your campus for questions regarding the immunization certification process.

Cumming, Gainesville or Oconee Campus

immunizations@ung.edu
Phone: 678-696-2676
Fax: 678-696-2686

Blue Ridge or Dahlonega Campus

Student Health Services
stuhealth@ung.edu
Fax: 706-864-1448
Phone: 706-864-1948

Note: These forms are in Adobe Acrobat format (.pdf). In order to view and print the forms, you will need to have Acrobat Reader version 5 or higher installed on your computer. If you do not have the Adobe Acrobat Reader version 5 or higher, you can download it for free.