Immunization and TB Compliance

North Carolina Immunization Regulations:

North Carolina General Statute 130A-155.1 requires individuals attending a college or university to receive certain immunizations. NC State University Students are required to provide copies of  Immunization Records and complete an online  TB Questionnaire..  When a student fails to provide any immunization documents including the TB Questionnaire, the student is  notified of a cancelled enrollment. Registration will not be reinstated until immunization requirements are met. The re-enrollment fee is $150.

North Carolina Law requires that you submit proof of your immunizations to the Student Health Services within 30 days of your acceptance at NC State University.

Exceptions to North Carolina Immunization Regulations:

Students residing off campus AND Enrolled in:

  1. Off-campus courses (distance education)
  2. Evening courses (classes beginning after 5:00 p.m.)
  3. Weekend courses
  4. Four or less credit hours, on-campus, during daytime hours

Exemptions to North Carolina Immunization Regulations:

  1. Medical Exemptions are granted upon submission of a Medical Exemption form (DHHS 3987) or a Physicians Request for Medical Exemption (DHHS 3995). Forms require a signature by a provider licensed to practice medicine in North Carolina.
  2. Religious Exemption

These forms can be found on the North Carolina Health and Human Services website 

Step 1: Submission of Immunization Records:

Accepted Forms of Immunization Documentation Include:

  1. Government or Health Department issued Personal Immunization Record
  2. High School Transcript or College/University Record
  3. Military Record
  4. Physician Office/ Clinic Office with signature and address or official stamp
  5. NC Immunization Registry or Other State Immunization Registry Records
  6. NC State University Standard Immunization Form with signature and address
  7. World Health Organization International Certificate of Vaccination

Step 2: Upload your accepted form of Immunization (as described above) to  (This link takes you to  the HealthyPack portal).

  1. Choose ‘North Carolina State University’
  2. Log into the HealthyPack portal with your ID and password
  3. Choose the ‘Upload’ option
  4. Choose Immunization Record from the drop down menu
  5. Click ‘Select File’ and upload your immunization record (You can upload multiple immunization documents)
NC State Immunization Record Form


You will receive messages via the HealthyPack portal from our Immunization Coordinators after they have completed a review of your Immunization documents.  It is important to check your HealthyPack portal periodically so you are aware of your Immunization compliance status. To access the HealthyPack portal, click here

  1. Choose ‘North Carolina State University’
  2. Log in with credentials
  3. Choose the ‘Messages’ option
  4. Check the inbox for a message. Follow the directions on the message

Please Note:  You can respond to any messages the Coordinator sends you about Immunization Requirements but you cannot initiate messages.

Step 3: Complete the REQUIRED TB Questionnaire. Complete REQUIRED Health History Form so we have information about your past medical history for reference should you need services at Student Health.

  1. Visit
  2. Choose North Carolina State University
  3. Log in with credentials
  4. Choose the ‘Forms’ option
  5. Complete the NC State Health History form
  6. Complete the TB Questionnaire

The Immunization Coordinator will screen the answers to your Questionnaire and notify you, via secure message, if any additional steps are needed.  

Tuberculosis (TB) Testing Requirement

You are required to have a tuberculosis test if one of the following applies to you:

All tests must be administered by a NC State University acceptable medical facility within the 12 months preceding the first day of classes. Testing can be in the form of a PPD (Tuberculin test) or blood test (Interferon Gamma Release Assay, “IGRA”). PPD readings must be stated in mm in-duration. A “nil” or “negative” result is not acceptable.

We do not accept the results of PPD tests or chest x-rays completed in medical facilities outside the United States. You may wait and have these test(s) done after you arrive at NC State University. Student Health Services can perform a blood test (IGRA) to detect a tuberculosis bacterial infection. Blood Tests outside of the United States are accepted if completed in the past 12 months. If you receive this test at the Student Health Center, and have health insurance coverage under the University- Sponsored Health Insurance Plan, your health insurance policy will cover the cost of the test if given after the effective insurance date. If you need this test done please call (919)-515-2563 to make an appointment once you are on campus.

Contact Immunization Department

If you have questions or need assistance, please check your secure messages on the HealthyPack portal or call 919-515-7233 or 919-513-4302. Please note Student Health Services is open year round to administer needed immunizations once you arrive.