Medical History Report
CGU seeks to provide a safe and healthy environment to all on campus and encourages students to take an active role in their own health. All students are required to submit CGU’s Medical History Report and submit proof of vaccinations and immunizations (see required list below). To protect your privacy, all medical forms and inquires must be sent directly to Student Health Services at email@example.com or uploaded to the SHS Box account. For more information on medical documentation, please visit the Student Health Services website.
Immunizations & Vaccinations
Students must provide proof of vaccination, or approval for an exemption, at least 2 weeks prior to visiting campus. Students must provide proof of vaccination, submit a request for medical or religious exemptions, or certify that they will not visit campus.
- Upload your completed vaccination card to the Student Health Services Medical Record Upload Portal;
- Request a medical or religious exemption: complete and submit the Student Health Services Exemption form; or
- Certify that you will not visit campus: complete and submit the Affidavit due to Remote Work/Study.
- MMR (measles/mumps/rubella)
- Td or Tdap (tetanus/diphtheria/pertussis)
- Varicella (chickenpox)
Recommended Immunizations and Vaccinations:
- Human papillomavirus (HPV)
- Hepatitis A
- Hepatitis B
*Students who do not comply with the policy may have a registration hold added to their student account, preventing their ability register for spring 2023 courses.
- Please visit your medical provider or physician to determine if you live or work in a high prevalence area for tuberculosis, or a high-risk area. This determination should be made and confirmed by your medical provider or physician.
When does the Medical Record and Immunizations Policy go into effect?
- CGU’s Medical Report and Immunization Policy requires all students submit a tuberculosis screening. Beginning fall 2022, CGU has added the following vaccinations and immunizations to the required list: MMR, Td or Tdap, Varicella, and Covid-19. Students who do not comply with the updated policy may have a registration hold added to their student account, preventing their ability register for spring 2023 courses.
How did The Claremont Colleges determine which vaccinations and screenings to require?
- We reviewed the Centers for Disease Control and Prevention (CDC) adult guidelines for vaccine recommendations, along with the American College Health Association recommendations. Additionally, we made comparisons of other colleges, including the University of California (UC) system.
I do not have access to my childhood medical records. What should I do?
- Adults who lived in the US, and were treated within the US should have access to their personal medical records through their health provider(s), and/or state or federal (military) health departments. For more information, please contact your health provider and/or state health department.
I did not receive vaccinations as a child. What should I do?
- The required vaccines are available to teens and adults who did not receive vaccinations as children. The expectation is that each student completes the required vaccinations and immunizations prior to coming to campus. Student Health Services offers a vaccine clinic each fall semester for those who have not completed their required vaccinations and immunizations. If you started a series of a vaccine and need boosters, you will be required to complete the vaccine schedule prior to your arrival on campus.
I have concerns regarding the safety of vaccines and have not been vaccinated. What should I do?
- We strongly encourage those who are concerned about the safety of the vaccines to get information from a reliable source, such as the CDC. Please contact Student Health Services for information on evidence-based research.
I had an allergic reaction to a vaccination. Am I still required to be vaccinated?
- Students who submit a completed Affidavit for Exemption to Vaccination form and medical provider documentation may be eligible for an exemption from Student Health Services.
Is there a process to request a personal / religious belief exemption from the policy?
- Students who submit a completed Affidavit for Exemption to Vaccination form may be eligible for an exemption from Student Health Services.
Does Student Health Services provide vaccines? If so, what is the cost?
- Yes, SHS provides a number of vaccinations and immunizations. Students should contact Student Health Services for a full vaccination and immunizations list and affiliated charges.
How can I request my health insurance cover some, or all of costs associated of my vaccinations?
- It is recommended that students contact their health insurance provider prior to their appointment to verify covered / eligible medical expenses and if necessary, request how to submit claims reimbursement. Student Health Services does not bill insurance providers directly. You will be given an invoice statement after your visit that can be submitted to your insurance company for claims reimbursement.
- Payment to Student Health Services is not due at the time of service. Charges are automatically held at SHS for 14 days. After 14 days, charges are forwarded to the student’s CGU account. Students can request that charges be held at SHS for 30-45 days so they can submit charges to their insurance company for reimbursement. Other medical offices, urgent cares, or pharmacies that give vaccines, may be able to bill your insurance company directly.
I cannot afford to have vaccinations completed prior to arriving on campus. Are there free or low cost options?
- Many domestic health insurance plans will pay 100% for the vaccines that are on the required list. For those who are uninsured, underinsured or their health insurance plans do not cover the cost, we encourage you to check if you’re eligible for Medi-Cal. In many cases, local health departments may provide vaccines at a reduced price. For more information, please visit:
This policy is being implemented during my last semester of enrollment. If I am unable to complete my vaccinations, will I be prevented from participating in commencement?
- Individuals who are approved for an exemption are considered unvaccinated and will be required to adhere to COVID 19 testing protocols and other protocols for non-vaccinated persons whenever they are on campus, as recommended by the LA Department of Public Health in guidelines for higher education. For more information, visit https://my.cgu.edu/covid-19-response/.
I am a student employee. Do I need to submit information to Human Resources, as well as Student Health Services?
- Yes, students who are also employees of CGU, must submit a completed vaccination card to the Human Resources portal in addition to the health services portal. Likewise, those seeking a medical or religious exemption, are asked to complete and submit an exemption request with Human Resources in addition to filing their exemption request with Student Health Services.
I did not submit a COVID-19 vaccination card or request a religious or medical exemption. Can I visit campus?
- Students who have not submitted a completed vaccination card, or have not received an approved exemption, will not have permission to visit campus.