PLEASE NOTE: THIS PAGE PERTAINS ONLY TO THE STUDENTS OF THE
JOHN A. BURNS SCHOOL OF MEDICINE (JABSOM).

This webpage will serve as a resource for both incoming and current JABSOM students regarding their immunizations and the process of ensuring accurate delivery of requested immunization records.

Failure to submit immunization records timely may result in a delay in matriculation or starting of rotation. 

Please use the following form to assist you:
List of required JABSOM 2020 immunizations – which is required for all students.

Please contact us at:

JABSOM Medical Records Immunizations
University Clinical Education & Research Associates (UCERA)
dba University Health Partners of Hawaii (UHP)
677 Ala Moana Boulevard, Suite 1001
Honolulu, HI 96813

Phone (808) 469-4980 I Fax (808) 447-3943 I JABSOMMR@UCERA.ORG

JABSOM IMMUNIZATIONS FREQUENTLY ASKED QUESTIONS

ACCEPTABLE FORMS OF PROOF OF IMMUNIZATION AND/OR VACCINATION

  1. Immunization Records Form – If you are unable to have a provider complete our form, copies of other acceptable immunization documents that you may submit include:
  2. Legible copy of a school or public health immunization record (i.e. yellow book/immunization card)
  3. Legible copy of an official health care provider’s record
  4. Legible copy of an official laboratory test to show evidence of protective serology
  5. Pharmacy documentation of immunization

Serology/titer documentation must be within the last 5 years.

Failure to find records of your immunizations will require you to repeat the series of the specific immunization.

Negative, equivocal or indeterminate serology results will require re-vaccination of the series.

Please allow 7-10 business days for processing/review of immunization records. You will be sent confirmation that your records have been received and informed of any additional requirements if needed.

All required documentation must be submitted to UHP by the June 1, 2020 deadline (subject to change). University Health Partners do not grant extensions.

How do I find my immunization records?
Check with previous school, hospital or clinic records

How long does it take to process immunization requests?
7-10
 business days from the date of receipt to when the UHP immunization office will submit to the designated party.

How old can my lab results/titers be?
Titers must be within 5 years from the date of matriculation.

What is required to submit my immunization records?
All records should have your name and an identifier (e.g. DOB).  We will  not accept screenshots of medical records without student identifying information such as name and date of birth.

Note that all records should be legible and in English to ensure vaccination compliance. Records should originate from US or US territories.  If international, please contact JABSOM Immunization at JABSOMMR@ucera.org for more information.

List of where you can find prior immunization records (be sure to submit both sides of each document):

    • Official State / Country Immunization Records
    • Prior medical records or lab records
    • Yellow Book / Immunization Cards
    • Pharmacy documentation of immunization

How do I request my immunization records?

Please submit request from your @hawaii.edu email address to JABSOMMR@UCERA.ORG. Records are sent encrypted with the subject line of ESECURE. You will need to create a password in order to open the document.

Please be advised that each facility may have their own unique immunizations requirements beyond what we are currently asking.

Disclaimer: Please note secure documents using ESECURE will automatically be deleted within 14 calendar days

For questions on TB, please check out the JABSOM Student Health Guidelines PDF.How current does my TB need to be?  If you were negative last year, TB screening is required annually.

Can interferon-γ release assay (IGRA) QuantiFERON in lieu of PPD testing? Yes, this is acceptable with submission of test results. However, this test must be done every 364 days (same as one-step TB).

If TB Screening was positive prior, will I still need to do an annual TB screening?

    • If your follow up chest X-ray is negative or you have completed treatment, you are only required to complete annually the TB Symptom Questionnaire. Depending on your answers, you may need to repeat a chest X-ray.

 

What is a two-step TB, and when would I need it?

Please refer to the Center for Disease Control (CDC) for more information: https://www.cdc.gov/tb/publications/factsheets/testing/skintesting.htm

Results of a TUBERCULIN SKIN TEST (PPD) and/or Chest X-ray performed within three months prior to matriculation in accordance with Hawaii state regulations:

  • An initial two-step PPD is highly recommended for matriculation, not less than one week and not more than three weeks apart if the initial PPD is negative and annually thereafter, read within 364 days of the last negative PPD; OR
  • A chest Xray if the initial PPD is positive; OR
  • If there is a history of a positive PPD, documentation of a follow-up chest X-ray, and antimicrobial therapy for tuberculosis and subsequent chest X-rays if applicable.
    •  

Your immunization records must be sent to the facility coordinator, depending on which facility you will be attending:

      • Generally, the student or your JABSOM coordinator must submit an email request to UHP at JABSOMMR@ucera.org. Please include the name of the facility and the name and contact information of the facility coordinator.
      • UHP will not forward your records to any JABSOM coordinator
      • UHP will not forward your records to Tripler Army Medical Center (TAMC)
      • Each facility will have their own unique immunizations requirements beyond what JABSOM requires.

Administered between September of the prior calendar year to the current year (e.g September 2019 to May 2020).

University of Hawaii at Manoa Health Services can provide the previous flu season at low cost.  Please note that these immunizations may not be covered by health insurance.

Current flu shots can be received any public health clinic or urgent care or any outpatient pharmacy (e.g. CVS, Safeway, Times, Walmart,etc).

Please contact the H.O.M.E. Clinic or Dr. Jill Omori directly.  Please obtain appropriate documentation verifying vaccination immunization.  It is student’s responsibility to ensure that documentation is forwarded to UHP at JABSOMMR@UCERA.ORG

  • If serologies are negative, non-immune/reactive or equivocal you must get re-immunized, following another serology.
    • Example: if your MMR (Measles, Mumps, Rubella were negative you must get 2 MMR immunizations, following a serology one month after the second shot.
    • Note: 2nd shot must be taken 28 days after first shot was taken.
  • Varicella: must get 2 varicella immunizations and serology one month after second immunization shot.
  • Hepatitis B: must repeat series of 3 shots.
    • 2nd shot taken one month after 1st.
    • 3rd shot taken 6months after 2nd
    • Serology taken 1 month after completing 3rd

Please contact the JABSOM Immunization office for further instructions at JABSOMMR@UCERA.ORG 

To qualify for a mask fitting, please complete the attached N-95 Respirator Fitness Questionnaire, and return completed and signed copy to JABSOMMR@UCERA.ORG

ʻIMI HOʻŌLA IMMUNIZATION REQUIREMENTS

For the ʻImi Hoʻōla Post-Baccalaureate Program participants, please see below for more information below.

Deadline: June 1 of the current year subject to change

All entering ‘Imi Hoʻōla students are required to submit the completed health information to the University Health Partners of Hawaii (UHP) by email at JABSOMMR@ucera.org or fax (808) 447-3943.

Should you have any questions or concerns, please contact UHP via email at JABSOM MR@ucera.org or review the FAQ below for more information.

Please note that it is YOUR responsibility to ensure you meet all the requirements, so please review ALL requirements carefully.

Note: All students who successfully complete the program and matriculates into JABSOM will need to complete the above list of required JABSOM Immunizations.

ʻIMI HOʻŌLA IMMUNIZATION REQUIREMENTS

For the ʻImi Hoʻōla Post-Baccalaureate Program participants, please see below for more information below.

Deadline: June 1 of the current year (subject to change)

All entering ‘Imi Hoʻōla students are required to submit the completed health information to the University Health Partners of Hawaii (UHP) by email at JABSOMMR@ucera.org or fax (808) 447-3943.

Should you have any questions or concerns, please contact UHP via email at JABSOM MR@ucera.org or review the FAQ below for more information.

Please note that it is YOUR responsibility to ensure you meet all the requirements, so please review ALL requirements carefully.

Note: All students who successfully complete the program and matriculates into JABSOM will need to complete the above list of required JABSOM Immunizations.

IMI HOʻŌLA REQUIRED IMMUNIZATIONS CHECKLIST

Please note that it is YOUR responsibility to ensure you meet all the requirements, so please review ALL requirements carefully.

Required Immunizations

  • MMR

Immunization for Measles, Mumps, Rubella is required.  Please provide documentation of previous vaccinations.

  • Influenza Vaccine

Provide documentation of the current Influenza season vaccination. If needed, UHM Health Services or your local pharmacy may be able to administer the influenza vaccination at a low cost (not covered by insurance).

  • Tuberculosis/PPD

A current PPD completed after June of the year of enrollment must be completed.  A current chest x-ray is required if: the initial PPD is positive OR there is a history of a positive PPD. Please provide the following documents if there is a history or current positive PPD.

  • Record of the date and measurement of the positive PPD (in millimeters)
  • TB Symptom Questionnaire (included in welcome packet)
  • Documentation of antimicrobial therapy for tuberculosis, if applicable

Please allow 7-10 business days for processing/review of immunization records. You will be sent confirmation that your records have been received and informed of any additional requirements if needed.

For more information, please contact us at phone (808) 469-4980 or fax at (808) 447-3943 or email at JABSOMMR@UCERA.ORG

All required documentation must be submitted to UHP by the June 1 of the current year (subject to change)

808-469-4982