Health Clearance Requirements
(Hawai‘i Administrative Rules, DOH Title 11, Chapter 157)
The State of Hawaii mandates that certain health requirements be met for entrance to post-secondary educational institutions. ALL students, including faculty/staff enrolled as students, must comply with health clearance requirements by completing the Health Clearance Form and Immunization Record and returning it by mail, fax, or secure email to Admissions in the Kekaulike Center. Please follow the instructions for Tuberculosis Clearance and Immunization Requirements carefully. You may not register for classes until you have received health clearance.
Submit Health Clearance Form
You may download the Health Clearance Form here. The form must be completed by you and your physician or, if you have your own personal immunization records, you can submit a copy of the records.
Tuberculosis (TB) Clearance
- Must be completed within 12 months of the first day of instruction or a Hawaiʻi State TB Clearance taken on or after your 16th birthday.
- Tuberculosis (TB) Clearance: Any one of the following are acceptable: Mantoux Tuberculin skin test (PPD), chest x-ray with a past positive skin test, T-spot, Quantiferon Gold In-Tube, Negative Risk Screen.
- U.S. Students: A TB Risk Assessment Form must be completed and signed by a U.S. licensed healthcare provider (M.D., D.O., A.P.R.N., or P.A.) within one year prior to your enrollment. If your TB Risk Assessment is positive, a TB skin test or blood test, and possibly a chest x-ray are required. A negative TB skin test (PPD – Mantoux) or blood test (QFT, T-Spot) within one year prior to your enrollment is required. Skin test results must be read in 48 to 72 hours and results documented in millimeters, i.e., 0mm. If your TB skin test or blood test is positive, a chest x-ray is required. TB tests must be performed by a U.S. licensed provider.
- Students Coming from Foreign Countries: A TB Risk Assessment Form must be completed and signed by a U.S. licensed healthcare provider (M.D., D.O., A.P.R.N., or P.A.) within one year prior to your enrollment. The U.S. licensed healthcare practitioner must document the state he/she is licensed and license number. The TB Risk Assessment Form may be completed upon arrival in Honolulu, at the Hawai‘i State Department of Health (Lanakila Health Center) – please call 808-832-5731 for location and hours, or a private physician’s office. If your TB Risk Assessment is positive, a TB skin test, IGRA or CXR is required.
- Positive TB Risk Assessment Students: If you have recently taken the MMR vaccine (or any live vaccine), you must wait 4 weeks to take the TB skin test or TB blood test. A chest x-ray can be done to preliminary complete the tuberculin requirement. The chest x-ray will allow you to register, however, you are still required to have the TB skin test or blood test done 4 weeks after your MMR vaccine.
Measles, Mumps, and Rubella (MMR) Immunity
- Two doses of the live measles vaccine, with at least one being an MMR (Measles, Mumps, and Rubella) vaccine.
- Your first dose must have been given on or after your first birthday.
- Your second MMR vaccine must have been given at least 4 weeks after the first vaccine.
- Measles, Mumps and Rubella immunizations may be waived if:
- You have a blood test to prove your immunity to measles, mumps, and rubella. The measles, mumps and rubella titers are needed; OR
- You were born before 1957.
A registration hold is placed on the student’s account until the student provides the required health clearance documentation(s). A registration hold prevents registration into classes, UH System-wide.
Health Clearance Forms can be faxed to (808) 734-9896, mailed, or sent via a secure email using FileDrop (see procedure below):
Admissions – Kekaulike Service Center
Kapi‘olani Community College
4303 Diamond Head Road, ‘Ilima 102
Honolulu, HI 96816-4421
FileDrop (secure email):
In order to send us your health records, you will need to have web access and have your health information stored on a device that you’re using (computer, phone, tablet, etc.).
- From any web browser, go to https://www.hawaii.edu/filedrop
- Click on the green box on the right side of the screen asking you to log in.
- Click the Login Here link and log in using your UH username and password.
- After you’ve logged in, you will be redirected to a page that allows you to input a recipient.
- In the recipient field, type: firstname.lastname@example.org. You will need to retype this in the Confirm Recipient field.
- Check the box for Require Authentication.
- It is optional, but you may include what it is that you’re sending in the Comment field, such as “Health Clearance”.
- After you’ve filled out both Recipient fields, click Proceed.
- Click the Choose File button to browse for your medical records. (You may input a description in regards to each file, but it is not necessary).
- Click the Start Upload button.
- You will be redirected to a confirmation page with the link to your uploaded file. You’re finished.