To protect the health of all Clinton Community College members and the patients that you serve, CCC and our clinical partners require students to fulfill certain health requirements. Nursing students are expected to submit their health records to the CCC Health Office at least 2 weeks prior to the start of classes. Associated fees will be the responsibility of the student.
The vaccines listed are to be reported by your physician on the Immunization Record contained in the Health Report. A physical form is also included in this packet. You will receive these forms as part of your acceptance packet from the Admissions Department. Please use the forms that are included in the packet to ensure ALL required information is submitted.
MMR vaccine (required)
Rubeola (required in the absence of MMR)
Proof of immunity- submit documentation of two doses of live measles vaccine or may substitute MMR vaccine. The first dose must have been received no more than 4 days prior to the first birthday and the second dose received at least 28 days after the first dose. OR Titer (blood test) showing immunity. History of disease is not adequate documentation of immunity.
Mumps (required in the absence of MMR)
Proof of immunity- submit documentation of one dose of live mumps vaccine or may substitute MMR vaccine no more than 4 days prior to the first birthday. OR Titer (blood test) showing immunity. History of disease is not adequate documentation of immunity.
Rubella (required in the absence of MMR)
Proof of immunity- submit documentation of one dose of live rubella vaccine or may substitute MMR vaccine no more than 4 days prior to the first birthday. OR Titer (blood test) showing immunity. History of disease is not adequate documentation of immunity.
Influenza vaccine (required annually each Fall)
New York State Department of Health regulation requires the documentation of influenza vaccine annually or unvaccinated healthcare providers are required to wear a surgical or procedure mask during the flu season. The flu season is typically October and lasts up to May.
Tetanus/Diptheria/Pertussis (Tdap) vaccine (required)
Proof of immunity- submit documentation of one adult dose of Tdap within the past 10 years, regardless of the time of your last Td vaccination. Td boosters are required every 10 years thereafter.
PPD (PPD/Mantoux) due yearly
NYS requires TB screening, submit documentation of TB testing by the Tuberculin Skin Test (PPD), Quantiferon-TB GOLD/ T-Spot blood test. Students screened by the PPD method, or the 2-step PPD method may have the test read by an LPN but it must be countersigned by a registered nurse, nurse practitioner, physician assistant or physician. If a skin test is positive, a chest x-ray is required, and you must submit a copy of the x-ray report.
The 2-step is required for students who have never been tested, have no documentation of testing or tested over 12 months ago.
A Two-step PPD is defined as having a PPD placed and read 48-72 hours later, followed by a second PPD placed 1-3 weeks later and read 48-72 hours later.
Proof of immunity- submit documentation of two doses of varicella vaccine, 28 days apart, or a positive antibody titer (blood test) showing immunity. History of disease is not adequate documentation of immunity. For those with a negative titer who already received two Varicella vaccinations, no further action is needed.
Hepatitis B vaccine (recommended but not required)
The Hepatitis B vaccine is strongly recommended for all nursing students. Proof of immunity- submit documentation of completion of the Hepatitis B series or proof of a quantitative Hepatitis B Surface Antibody titer. If the student declines the series, he/she must sign the Hepatitis B vaccine waiver documenting that he/she understands the possible risks associated with acquiring Hepatitis B.
Meningococcal vaccine (recommended but not required)
One dose: You must fill out and submit the “Meningococcal Meningitis Form” indicating the date of the vaccine, your intention to obtain the vaccine, or your decision to waive the vaccine. New York State Public Health Law requires college students to submit a completed and signed response form.
Current Physical (required)
Your physical must be done prior to the beginning of classes, in the same calendar year. Physicals done earlier will not be accepted. Students must submit a signed and dated physical exam performed by a physician, nurse practitioner or physician’s assistant. The physical is valid for two years. Please use the physical form provided and complete your medical history.
Certification of Essential Skills Form
The essential skills expected of beginning nursing students are listed in the Nursing Student Handbook and on the Nursing Department website. Please read these documents, sign and submit the “Certification of Essential Skills ” form.
Valid, Acceptable Proof of Immunization:
• Vaccination card from childhood;
• Immunization records from your doctor’s office signed or stamped;
• High school or prior college’s immunizations records;
• Blood test (copy of the original lab report) proving immunity to measles, mumps, rubella, varicella and/or Hepatitis B.
• Certificate of immunization from INS or country of origin for international students.
Please Note: Equivocal titers are not accepted. Titers must be positive. If titers are equivocal or negative, you will need to provide proof of the appropriate vaccination given after the date of the lab test.
Please mail or bring the completed forms to:
Sandra Marland, RN, BSN
Clinton Community College
136 Clinton Point Drive, Plattsburgh, NY 12901
Phone: (518) 562- 4129/ Fax: (518) 562-4197
Email: Sandra Marland