Immunization and TB Compliance

Proof of Immunizations

North Carolina public law requires that you submit proof of your immunizations to the Student Health Center within 30 days of your acceptance at NC State University. The North Carolina Department of Health and Human Services answers questions about college and university immunization requirements.

Easy Steps for Immunization Compliance

Step 1: Send Us a Copy of Your Immunization Record

We are required by law to have a copy of your immunization record. The record must have a health care provider’s name and address or clinic stamp with provider name and address.

Accepted Forms of Immunization Documentation Include:

  • Government or Health Department issued Personal Immunization Record
  • High School Transcript or College/University Record
  • Military Record
  • Physician/Clinic Office record with clinic stamp/address
  • NC Immunization Registry or Other State Immunization Registry Records
  • NC State University Standard Immunization Form with clinic stamp/address
  • World Health Organization International Certificate of Vaccination

You may:

  • Upload your record into your HealthyPackPortal
  • Fax: 1-888-972-4149
  • Visit the Student Health Center and drop it off
  • Mail to:

Attention: Immunizations Department

NC State University, Student Health Services

Campus Box 7304

Raleigh, NC 27695-7304

*We will NOT be accepting records via e-mail. Uploading documents directly into your HealthyPack Portal is the most secure and preferred method. Please try to avoid sending in duplicate records. *

NC State Immunization Record Form


Step 2. Complete the Health History and TB Screening Forms Online

  • Log into HealthyPackPortal 
  • Select the “forms” tab at the top of the page to take you to a page that allows you to complete your Health History and TB Screening Forms. *Please note that the TB Questionnaire is only available on the HealthyPackPortal after you register for classes*

Obtaining Proof of Immunizations

Tracking down evidence of your immunizations can be challenging. If you or your parents do not have your immunization records, we suggest that you check with your personal physician, county health department, previous college or university, or military branch.

Tuberculosis (TB) Testing Requirement

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

  • You are an international student from a high risk country
  • You are a non-U.S. citizen from a high risk country
  • You have traveled to a high risk country for more than one month
List of High Risk Countries


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 induration. 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.

Vaccination Against Meningococcal Disease

Although NC State University does not require its students to be vaccinated against meningococcal disease, we recommend the vaccine for incoming freshmen who will live in residence halls.

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

Consequences for Not Providing Proof of Immunization

Immunization requirements are mandatory under state law (North Carolina General Statute 130a 152-157). If immunization requirements are not met, registration for classes will be cancelled. Registration will not be reinstated until immunization requirements are met. The re-enrollment fee is $150.

Contact Immunizations Department

If you have questions or need assistance please email the immunizations department at, 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.