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Immunization & Health Forms


Immunization Requirements & Optional Health Form

In accordance with Massachusetts state law, the Boston Conservatory requires that undergraduate, graduate, and other visiting students (such as MEIP) demonstrate immunity to specific communicable diseases. 

Prior to arriving on campus, students must submit an Immunization History Form, signed/stamped by a licensed medical provider. Only the official Boston Conservatory form will be accepted, and all required immunizations must be complete. If complete immunization information is not submitted, the student will not be allowed to attend classes.

If the Optional Health Form is submitted, Counseling & Wellness Services will contact the student in order to provide resources and support.

The forms will be available in English, Simple Chinese, and Traditional Chinese. All forms will be posted by June 1, 2016. 

Immunization Record Request Form

All requests to receive a copy of a current or former student’s immunization record must be submitted through the form below. By law, immunization and other health records are kept on file for seven years. At that time they are destroyed. 

  • Please allow 1-2 weeks from the date this request is received for records to be sent.  
  • If your immunization records are not available, it is recommended that you contact the medical facility where you received your immunizations. You may also have immune titers performed to document immunity. 
Please type your full name.
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