Health Center Requirements

Immunization/TB Questionnaire (Mandatory)

You will not be eligible to pay University fees until all immunization is in compliance or the exemption is signed and required forms are submitted. Please click following link to access forms: Medical History/Immunization Form/TB Questionnaire Form.

  • Please mail proof of immunization and forms to 403 Main Street, P.O. Box 4251, Grambling, LA 71245 or fax documents to 318-274-2481. For details regarding required immunizations, please see statement below.

Louisiana Law (R.S. 17:170/R.S. 17:170.1/Schools of Higher Learning) requires that all students entering Grambling State University to be immunized for the following: Measles (2 doses), Mumps, Rubella--required for those born on or after January 1, 1957; Tetanus-Diphtheria (within the past 10 years); and against Meningococcal disease (Meningitis).

The student health center is evaluating all entering students for exposure to tuberculosis (TB). Failure to return this questionnaire will result in you being placed on hold.