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CSUSM Immunization Requirement

Immunization Requirement

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Required Immunizations for New Students 

All NEW students entering CSUSM for the first time  (including undergraduate, graduate, students matriculated in self-support degree programs and K-12 students participating in concurrent enrollment courses entering California State University (CSU) in or after Fall 2020) will be required to have the following immunizations or show proof of immunity to these diseases: Measles, Mumps and Rubella (MMR) and Hepatitis B. 

Residential Immunization Requirements
All first-time CSUSM residential students (living in university or affiliated housing), who are 21 years or younger will be required to have the following immunization administered within the last four years: 
  • Meningococcal Conjugate (MenACWY).
Records of up-to-date immunization must be submitted prior to move in. 

If students do not meet the immunization requirement, they will not be permitted to enroll in classes. Registration holds are placed if proof of immunization has not been submitted to SHCS prior to the deadline, which means you will be unable to register for the following semester. If you would like assistance with submitting your immunizationsplease call SHCS at 760-750-4915.  We can assist you over the phone or make an appointment for you at SHCS to help you meet these system-wide requirements. 

Submit Immunizations Records


  • Full Vaccination: Upload completed vaccinated card(s) for all required immunizations and submit here; OR

  • Medical Exemption: For medical reasons, immunization accommodation/exemptions are available. Please complete the medical exemption form with documentation from a licensed physician (MD,DO), physician assistant (PA) or nurse practitioner (NP) indicating medical reasons for a medical exemption and submit; OR

  • Religous/ Strongly Held Personal Belief Exemption: A student may be exempted from receiving a required immunization for a religious exemption due to either (i) a person's sincerely held religious belief, observance, or practice, which includes any traditionally recognized religion, or (ii) beliefs, observances, or practices which an individual sincerely holds and that occupy a place of importance in that individual's life, comparable to that of traditionally recognized religions. Please complete this religious exemption form and upload the exemption online.

    To submit your immunization records for verification at SHCS, you may submit  records for the immunizations online below or via Fax or Mail. Be sure to include your name, phone number/email, date of birth and student ID if submitting via Fax.

Where to Submit Your Immunization Records 




Fax your records to: 760-750-3181 


Mail your records to: 
333 S. Twin Oaks Valley Rd
San Marcos, CA 92096-0001


REQUIRED Immunizations

Required Vaccines
Required Immunizations & Screening Required Dosages & Screening Information Costs at SHCS
Prices subject to change.
Measles, Mumps, & Rubella  (MMR)

Two (2) doses with first dose on or after 1st birthday; OR
positive titer (laboratory evidence of immunity to disease)

$101 - MMR Vaccine

$6 - Measles Titer
$14 - Mumps Titer
$4 - Rubella Titer

Hepatitis B (Hep B)

Students age 18 and younger (CA Health & Safety Code, Sec. 120390.5)

$62 - Hep B Vaccine

$6 - Hep B Titer  

Meningococcal Conjugate (MenACWY)

REQUIRED within the last 4 years for first time students living in on campus or affiliated housing who are 21 years or younger.

Not available 


Highly Recommended Immunizations

CSUSM students are HIGHLY recommended for the following vaccines and undergo screening/risk assessment for Tuberculosis below:

Recommended Vaccines
Recommended Immunizations & Screening Recommended Dosages & Screening Information Costs at SHCS
Prices subject to change.     
Varicella (Chickenpox)

Two (2) doses with first dose on or after 1st birthday; OR positive titer.
History of  contracting the disease does not meet compliance. 

Not Available

$5 - Varicella Titer   

Tetanus, Diphtheria, & Pertussis (Tdap) One dose on or after age 11. Must have been received within the past 10 years.

$43 - Tdap Vaccine

Meningococcal Conjugate (MenACWY) 1 dose on or after age 16 for all students under 22 years of age. Not Available
Screening/Risk Assessment: Tuberculosis  (TB)

Tuberculosis risk questionnaire to be reviewed and signed by a medical provider.  

Incoming students who are at higher risk* for TB infection, as indicated  by answering “yes” to any of the screening questions, should undergo either skin or blood testing for TB infection within 1 year of CSU entry.  *Higher risk include travel to or living in South and Central America,  Africa, Asia, Eastern Europe, and the Middle East; prior positive TB test;  or exposure to someone with active TB disease.

$10 - TB test

We encourage you to start your immunization process as early as possible, as some vaccines require multiple doses and may take six months to complete. Schedule and complete any outstanding vaccines/titers with your medical provider since some vaccines are not avaialble at SHCS, or costs to getting vaccinated may be more at SHCS than with your medical provider. 

Other Recommended Immunizations

The following EO 803 recommended immunizations and screenings. Please discuss this with your healthcare provider. 

  • Hepatitis A (Hep A)
  • Human Papillomavirus (HPV)
  • Influenza (Flu)
  • Meningococcal B (Meningitis B)
  • Pneumococcal
  • Poliovirus (Polio)
  • COVID-19 Vaccination

Still have questions? You may call us at 760-750-4915 or email us