University Health Center
Immunization Form (PDF format)
***Please Note: The e-mail address on this form is not correct. Please e-mail this form to Ridge@ucmo.edu***
Requirements for all students/employees
The UCM Board of Governors, per recommendation of the US Center for Disease Control (CDC) and the Missouri Department of Health and Senior Services, requires all students and employees to present documentation showing immunity to Measles, Mumps, and Rubella and demonstrate a negative history for active tuberculosis (a TB screening is required for everyone).
Requirements for all students about Meningococcal Disease and Immunization.
The Missouri Revised Statutes, section 167.638, states that each public institution of higher education shall provide a copy of the brochure to all students; and if the student is under 18 years of age, to the student's parent or guardian. The State of Missouri requires that all students living in University Housing be informed about meningococcal disease, and about the availability of a vaccine that can lower your risk of contracting the disease.
Please fill out and print the Immunization Form (link is at the top of the page in PDF format). Be sure to attach copies of all required documents needed for enrollment/employment to the Immunization Form. Fax, Bring, or Mail to:
University of Central Missouri
Warrensburg, MO 64093
Failing to comply with the immunization policy will result in a hold for next semester enrollment or suspension of employment.
Questions about immunizations, costs, or immunization records should be directed to Cathy Furrey our Immunization Nurse at 660-543-4779 or you can e-mail her at email@example.com .