Procedure for Institutional Policy ST-06: Proof of inoculations/Health Form

June 3, 2021

1.  Purpose

The purpose of this procedure is to implement WVSOM’s Institutional Policy ST-06: Proof of Inoculations/Health Form.

2. Applicability


This procedure applies to all WVSOM students.


WVSOM reserves the right to amend this procedure at any time, as necessary or appropriate.

3. Procedure


Students are provided with instructional document(s) on how to meet WVSOM’s immunization requirements, health form requirements, and documentation requirements. The document(s) are provided to accepted students by the admission’s department prior to matriculation and links to the document(s) are provided on WVSOM’s website at Students are encouraged to contact a health educator with any questions or concerns. The contact information for the health educator is located on the website at, within the instructional document(s), or by emailing


Students are required to provide the following immunization and titer information and upload them into the Castlebranch system by the required deadlines set forth in the instructional document(s):


Completed WVSOM Immunization FOrm and, if needed, documentation of contraindications to vaccination(s);


The student's original childhood immunization record;


Immune (IgG) antibody titers (the ab reports including reference ranges) to measles, mumps, and rubella (MMR), varicella, and a quantitative Hepatitis B surface antibody titer;


Health and Technical Standards Form;


Yearly PPD testing and any related studies and/or documents such as chest x-rays as deemed necessary for those students with positive TB tests;


Yearly influenza vaccination or yearly documentation of contraindication from further influenza immunization; and


Any other immunizations as deemed mandatory by WVSOM following proper notice to students.


Students will not be allowed to matriculate unless all immunization forms, health forms, and documentation requirements have been uploaded into the Castlebranch system.


Students will not be permitted to register for second year classes until all mandatory immunization requirements including repeat vaccinations and titer requirements have been met.


In addition, students are required to keep the following current and load these into Castlebranch: CPR card (the initial card is submitted prior to matriculation and must be dated within one year of matriculation), proof of health insurance, HIPAA and OSHA training.


Failure to adhere to required, deadlines as set forth in the instructional document(s) or meet other immunization or documentation requirements as deemed necessary by WVSOM and following proper notice to students will result in a report of unprofessional behavior placed into the student's file and delays in starting academic experiences including clinical rotations.