**F.T.I.C, Returning, Transferring in, New or Duel Enrollment Students**

Please see the "REQUIREMENTS" tab above for ALL information

To View Holds Via Gulfline

Check account AFTER 72 BUSINESS HOURS

-log into your gulfline account using your UIN & Pin #, click "student & financial aid", click on "student records", click "view holds" (if the IM hold is no longer there then the documents were accepted and the hold was removed otherwise the hold will be updated with a current reason as to why)

Need to order a copy of your immunization records on file with FGCU?

• Please complete the entire form below and print neatly.
• You may fax or email the request form (see "Contact" tab above) or walk in and order a copy of your immunization records at no charge.
• Please allow 72 business hours for your request to be processed. (CLICK LINK BELOW)

Immunization Records Request Form

Are You Travelling Outside of the Country? Please visit the Centers for Disease Control (CDC) Traveller's Health website for the current required/recommnded vaccine information.

FGCU Immunization Requirements

The State University System of Florida requires all students born AFTER December 31, 1956 to present documented proof of immunity to MMRs, measles (Rubeola) and German Measles (Rubella). This written document must be signed by a physician, a nurse practitioner or a registered nurse and must be mailed, emailed, faxed, or delivered to Student Health Services . Phone calls from your physician are not acceptable. If you have questions, call the FGCU Student Health Services Immunization Deaprtment at (239) 590-1254.

Requirements

• Effective 06/01/11 the date in the following format: MO/DA/YR (Month/Year/Year) must be provided on documents or they will NOT be accepted
• 2 MMR’s
• Hepatitis B vaccine (3) shot series or sign FGCU waiver
• 1 Meningitis vaccine or sign FGCU waiver
• Positive lab/titer results are also accepted.  MUST HAVE actual lab documents.

Acceptable Proof/Acceptable Documentation Forms

• Proof of two (2) MMR vaccine doses received at least/minimum 28 days apart, must have been received AFTER your first birthday. Vaccinations MUST have been received in 1971 or later
• Proof of immunity by way of a blood test result (titer). Must submit lab documentation.
• The official State of Florida Immunization Form (680, blue form) issued by local "Health Departments" & physician offices (must include stamp)
• Childhood immunization records (the little booklets, not family baby books)
• Previous school documents (your high school can fax a copy but you will need to speak with that school to request them)
• High school transcripts/State University records(if sent to Admissions you will need to request to have them sent to this department) 
• Military documents, must have full dates M/D/Y not a discharge date
• Exemption: Medical/Pregancy/Illness/Age, please see "Valid Immunization Exemptions" below.

Not able to find your immunization documents?

If you are unable to obtain written documentation of the actual dates, it is recommended that you either have a blood antibody "titer" test performed to determine if you are immune to both viral diseases, or if you must register ASAP and are unable to wait for the test results; you may elect to receive an MMR vaccines however (2) doses may be required.

Immunization Process

The student will provide immunization documents from other institutions/offices or the FGCU Immunization History Form at least 72 business hours PRIOR to class registration. The documents will be reviewed and determined complete or not by the immunization staff within 72 business hours after receiving them.

If the documents are determined complete by the staff, students Immunization hold will be cleared and he/she will be able to register for classes.

If the documents are incomplete (see "requirements" above) the staff will update the “Immunization Hold” with a current date and the reason. Students may view the hold reason through their Gulf Line account "hold screen."

Valid Immunization Exemptions

You will be exempt from the State of Florida University System immunization requirements if you meet any one of the following:

• If you are a Distance Learner who is living or working OUTSIDE the United States and are able to provide proof please contact this office at 2239-590-1254.
• Birthdate exempt if born prior to December 31, 1956 PLEASE CALL THE IMMUNIZATION DEPARTMENT 239-590-1254, HAVE YOUR UINVERSITY ID READY AND DATE OF BIRTH. #
• Temporary Medical Exemptions: (pregnancy, illness, allergies see directions below)
  • Pregnancy/Fertility Treatments: On a dated office/physicians letterhead please specifiy name, DOB & expected date of delivery if pregnant. Please provide brief explaination of event & include physicians signature and contact information.
  • Breast-Feeding/ Lactation Considerations: Measles, Mumps & Rubella (MMR): Excretion in breast milk unknown. Please discuss receiving the MMR vaccine with your pediatrician while breast-Feeding.  On dated office/physician’s letterhead please specify name, DOB, you are breast feeding & that the physician does or does not support receiving the MMR vaccine.
  • Illness/Disease: A written, dated statement signed by a qualified health care provider on office letterhead which specifies the students name, DOB, date seen & that the MMR vaccines can not be given as student is immunocompromised.
  • Allergy: A written, dated statement signed by a qualified health care provider on office letterhead which specifies the date seen, type of reaction & a brief explaination of the event.

For questions or details on ALL SUS (State University System) exemptions including Religious exemptions please contact the Immunization Department, 239-590-1254 M-TH 8:15-4:45 and F 9:00-4:45.

You may receive vaccinations or immunity testing at the following locations: (Please call that location to verify)

• FGCU Student Health Services (must have a University ID Number)
• Walk-in clinics
• Your private physician office
• Health Department

Fall Immunization Service Hours

• Monday         8:15am - 4:45pm
• Tuesday       8:15am - 4:45pm
• Wednesday 8:15am - 4:45pm
• Thursday      8:15am - 4:45pm
• Friday            9:00am - 4:45pm

*please note:

• Closed for Lunch: 11:45PM-12:45PM
• Appointments are required and can be made by calling 239-590-1254
• University ID Cards required at check in
• Effective 08/20/12 a $25.00 "No Show" fee will be implemented.  Please notify Student Health Service at least 2 hours prior to cancellation

Upcoming Holiday/Break Hours & Closings

• 05/27/13 Memorial Day..........................CLOSED
• 07/04/13 Independence Day.................CLOSED
• 09/02/13 Labor Day................................ CLOSED
• 11/11/13 Veterans Day...........................CLOSED
• 11/28/13 Thanksgiving Day....................CLOSED
• 11/29/13 Thanksgiving break................CLOSED
• 12/25/13 Christmas Day........................CLOSED
• 12/26/13 Winter Break............................CLOSED
• 12/27/13 Winter Break............................CLOSED
• 12/30/13 Winter Break............................CLOSED
• 12/31/13 Winter Break............................CLOSED
• 01/01/14 New Year's Day.......................CLOSED

The following immunizations are available at Student Health Services: Appointments are required! A $25.00 No Show fee will commence on 08/20/12. Please notify this office at least 2 hours prior.

• MMR - $65.00 each dose
• Rubella/Rubeola Titer- (blood test) $30.00
• Gardasil - $145.00 per vaccine
• Hepatitis A - $83.00 each dose
• Hepatitis B - $50.00 each dose
• Tuberculosis Screening (TB, PPD) $6.00
• Varicella Titer (blood test) - $12.00
• Flu shot - $10.00
• Meningitis Vaccine - $90.00
• TDAP - $35.00 Tetanus, Diphtheria & Acellular Pertussis(According to CDC guidelines as an adult, you should have one "pertussis"  tetanus booster, TDAP)

Providing Immunization Documents

• Completed Immunization History forms/documents may be mailed, faxed, e-mailed or dropped off to Student Health Services Immunnization Department upon completion.
• Original certificates and/or immunization books DO NOT HAVE TO BE TURNED IN; in this case, photocopies of original documents are acceptable. (WE DO NOT MAKE COPIES, please make your own)
#

Contacting Student Health Services

• FAX: 239-590-7968
• EMAIL: Stephanie Harper sharper@fgcu.edu
• OFFICE: 239-590-1254

ADDRESS
Florida Gulf Coast University
Student Health Services
Immunization Department
10501 FGCU Blvd South
Ft. Myers, FL 33965

DROP OFF
Florida Gulf Coast University
Student Health Services
Immunization Department
Located in the Wellness Center
Room #102

*if after hours you may place documents in the drop box located outside the front door