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If you have any questions about your status, please contact the HSIP team via email: <a rel="noopener noreferrer" href="mailto:myshots@uw.edu" class="Hyperlink SCXW72507014 BCX0" target="_blank">myshots@uw.edu</a>&nbsp;
Submit documentation of an updated COVID-19 vaccine for the current FALL season (beginning in August).&nbsp;
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Pfizer or Moderna vaccine for the current FALL season   <span data-ccp-props="{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:276}" class="EOP SCXW169147334 BCX0">&nbsp;
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OR<span data-ccp-props="{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:276}" class="EOP SCXW169147334 BCX0">&nbsp;
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<li data-aria-level="1" data-aria-posinset="1" aria-setsize="-1" data-list-defn-props="{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}" data-listid="41" data-font="Symbol" data-leveltext="" role="listitem" class="OutlineElement Ltr SCXW169147334 BCX0">
Novavax vaccine dated for the current FALL season AND one additional prior COVID-19 vaccine dose.&nbsp;&nbsp;<span data-ccp-props="{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:276}" class="EOP SCXW169147334 BCX0">&nbsp;
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Annual vaccination required.&nbsp; List of due dates by program are available on the <a rel="noopener noreferrer" href="https://wellbeing.uw.edu/imms-req/hsip/" class="Hyperlink SCXW169147334 BCX0" target="_blank">HSIP website.</a> <span data-ccp-props="{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:276}" class="EOP SCXW169147334 BCX0">&nbsp;
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RECENT COVID-19 Infection: Individuals who have tested positive for COVID-19 infection in the past 90 days, complete a <a rel="noopener noreferrer" href="https://wellbeing.uw.edu/wp-content/uploads/2025/01/COVID-19-vaccinations-temporary-extension-form_01.09.2025.pdf" class="Hyperlink SCXW169147334 BCX0" target="_blank">COVID-19 extension form</a>.<span data-ccp-props="{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:276}" class="EOP SCXW169147334 BCX0">&nbsp;
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<span data-ccp-props="{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:276}" class="EOP SCXW169147334 BCX0">&nbsp;NOTE:<span data-ccp-props="{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:276}" class="EOP SCXW169147334 BCX0">&nbsp;
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<li data-aria-level="1" data-aria-posinset="1" aria-setsize="-1" data-list-defn-props="{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}" data-listid="43" data-font="Symbol" data-leveltext="" role="listitem" class="OutlineElement Ltr SCXW169147334 BCX0">
Full student name and full date of vaccine must be included in documentation.&nbsp;
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Vaccine manufacturer must be included in documentation&nbsp;
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<li data-aria-level="1" data-aria-posinset="3" aria-setsize="-1" data-list-defn-props="{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;&quot;,&quot;469777815&quot;:&quot;multilevel&quot;}" data-listid="43" data-font="Symbol" data-leveltext="" role="listitem" class="OutlineElement Ltr SCXW169147334 BCX0">
Document must be from a verifiable source (medical record, clinic or provider signature/stamp, certified state immunization registry, or lot #’s provided).&nbsp;
</li>
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If you have any questions about your status, please contact the HSIP team via email:  

Submit documentation of an updated COVID-19 vaccine for the current FALL season (beginning in August). 

 * Pfizer or Moderna vaccine for the current FALL season    

OR 

 * Novavax vaccine dated for the current FALL season AND one additional prior COVID-19 vaccine dose.   

Annual vaccination required.  List of due dates by program are available on the  

RECENT COVID-19 Infection: Individuals who have tested positive for COVID-19 infection in the past 90 days, complete a . 

 NOTE: 

 * Full student name and full date of vaccine must be included in documentation. 

 * Vaccine manufacturer must be included in documentation 

 * Document must be from a verifiable source (medical record, clinic or provider signature/stamp, certified state immunization registry, or lot #’s provided). 

UW HSIP - Required COVID-19 Vaccine

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DEXT3

DEXT1

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Missing Date Polio #1

Missing Date Polio #2

Missing Date Polio #3

Missing date Polio #4

Missing ULV TB Screening Form

Missing ULV Health History Form

Contact ULV Health Center

Missing QuantiFERON Gold in the US 

UW HSIP - Required Hepatitis B

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