Immunizations

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 OR  proof of immunity by way of a blood test result (Rubella/Rubeola titer). Must upload positive lab documentation through your SHS portal.
• 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/album pages)
• High Schools: Most public schools require the MMRs K-12  (you will need to speak with that school to request them)
• High school transcripts: May hold vaccine dates (if sent to Admissions you will need to upload the vaccine documents page to yout SHS portal as we do not share information) 
• Military documents: must have full dates MM/DD/YY not a discharge date (DD214 not valid)    "Infinite Military Titer" is not acceptable. We must have actual lab documentation.
• FGCU FORM: If you can't locate documents from the sources above, the "FGCU Immunization History Form/Parent Waiver" can be completed & uploaded to your portal. Make sure it is stamped and signed by authorized personal (NOT AN FGCU MEMBER) (see "Printable Immunization Forms")
• Exemption: Medical/Pregnancy/Illness/Age, please see "Valid Immunization Exemptions" below.

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Immunization Process

The student will upload the required immunization documents at least 72 business hours PRIOR to class registration to the SHS Portal. The documents will be reviewed and determined complete or not by the immunization staff within 72 business hours.

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 and/or you will receive a "secured message" through your SHS portal.  Students may view the specific hold reason through their Gulfline account "hold screen" in the "reason" box.

To View Holds

• Sign into your Gulfline account
• Click "Student" tab
• Click "Student Records" tab
• "View Holds"

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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 (Rublla/Rubeola) to determine if you are immune to the viral diseases, or if you must register ASAP and are unable to wait for the test results; you may elect to receive the MMR vaccines.

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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 239-590-1254.
• Birthdate exempt if born prior to December 31, 1956 PLEASE CALL THE IMMUNIZATION DEPARTMENT 239-590-1254, HAVE YOUR University ID READY AND DATE OF BIRTH.
• Temporary Medical Exemptions: (pregnancy, illness, allergies see directions below)
•  Please select the "Exemption" box on the "Student Health Immunization History Form/Parent Waiver" located in your portal then upload your exemption supporting documentation.
  Immunization History Form
  • Pregnancy/Fertility Treatments: On a dated office/physicians letterhead please specify PT name, DOB & expected date of delivery if pregnant. Please provide brief explanation of event & include physician's signature and contact information. (medical provider cannot be that of a family member)
  • 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 PT name, DOB, you are breast feeding and that the physician does or does not support receiving the MMR vaccine. Include physician's signature and contact information. (medical provider cannot be that of a family member)
  • Illness/Disease: A written, current dated statement on office/physician letterhead signed by a physician and including his/her contact information.  Please specify the students' name, DOB, date seen and that the MMR vaccines cannot be given as student is immunocompromised. (medical provider cannot be that of a family member)
  • Allergy: A written, dated statement on office/physician letterhead signed by a physician including his/her contact information which specifies the date seen, type of reaction and a brief explanation of the event. (medical provider cannot be that of a family member)

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. (K-12 Religious Exemption documents are not accepted by universities)

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

• FGCU Student Health Services (must have a University ID Number) see "cost" tab
• Walk-in clinics
• Your private physician office
• Health Department
• VA (if active military or veteran)
• CVS/Walgreens/Publix/Minute Clinics

If you DO NOT have vaccination records from another institution the "Immunization Form" below should be taken to a doctor, completed, signed, stamped & uploaded in your portal.  As the parent, if using this form to opt out only then NO office stamp/signature is required. Must upload to portal.

Download Immunization History Form/PARENT Waiver

 

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Need to order a copy of your immunization records and/or lab results on file with FGCU for yourself or to send elsewhere?

You may now print these documents from your SHS Portal WITHOUT completing a records request.

• Log into your SHS portal  (click the red portal button at the top of the page)
• Click "MY PROFILE" located on the tool bar on top right
• You may print you Immunization History and/or your Lab Results WITHOUT completing the "IMRecords Request

 

IF you do NOT HAVE ACCESS to the FGCU SHS Portal OR your profile options are blank please follow the steps below

• Please complete the entire "Immunization Records Request Form" below and print neatly.
• You may fax: 239-590-7968 OR email: immune@fgcu.edu.  There is NO charge for this service.
• Please allow 72 business hours for your request to be processed. (See form below)

Immunization Record Request Form

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 Contact Student Health Services

 

You must upload your immuniztion documentation to the Student Health Services Portal for processing.  DO NOT SUBMIT via fax, email, mail or drop off.

• EMAIL: immune@fgcu.edu
• OFFICE: 239-590-1254

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

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Immunization Service Hours

*please note:
Appointments are required and can be made by calling 239-590-1254 
University ID Cards are required at check in; incoming students acquiring state mandated vaccines DO NOT require an Eagle ID but will need to show drivers license

Upcoming Holiday/Break Hours & Closings

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The following immunizations & titers (blood tests) are available at Student Health Services Immunization department: Appointments are required!  Please notify this office at least 2 hours prior if you need to cancel an appointment.

• MMR - $85.00 per dose
• Rubella/Rubeola Titer- (blood test) $20.00
• Rubella Titer-$10
• Rubeola Titer-$10
• Mumps Titer-$10
• Gardasil - Please visit your local pharmacy, health department or primary care doctor
• Hepatitis A - Please visit your local pharmacy, health department or primary care doctor
• Hepatitis B - $50.00 each dose
• Hepatits B Titer- $11
• Hepatits B Quantitated Titer- $20
• Tuberculosis Screening (TB/PPD) $8.00 
• TB-Quantiferon Gold blood test $83.00 (here at Student Health)
• Varicella Titer (blood test) - $15.00
• Flu shot - $20
• Meningitis ACWY & Men B Vaccines - Please visit your local pharmacy, health department or primary care doctor
• TDAP - $40.00 Tetanus, Diphtheria & Acellular Pertussis (According to CDC guidelines as an adult, you should have one "pertussis"  tetanus booster, TDAP)
• Color Vision Screening- No Charge
• 10 Panel Urine Drug Screen- $40.00  (includes "ETOH")

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Please visit the Centers for Disease Control (CDC) Vaccine Information Statements web site for the current required/recommended vaccine information.  Also see the following links for downloadable Vaccine Information Statements:

• Hepatitis B Vaccine
• MMR (Measles, Mumps, & Rubella) Vaccine
• VIS meningitis

Are You Traveling Outside of the Country? Please visit the Centers for Disease Control (CDC) Travelers' Health websitefor the current required/recommended vaccine information.