|HEALTH CLEARANCE REQUIREMENTS
Submit Health Clearance Form
Information on obtaining the Health Clearance Form is given to students along with their acceptance packet. If you did not receive the Health Clearance Form, you may download it under our Forms page. Review TB Document G with your physician and have them complete the Health Clearance form.
Comply with State of Hawai'i tuberculosis clearance guidelines
ALL students enrolled at Leeward Community College must have tuberculosis (TB) clearance. A TB Risk Assessment Form must be completed and signed by a U.S. licensed healthcare provider (M.D., D.O., A.P.R.N., or P.A.) within one year prior to your enrollment.
If your TB Risk Assessment is positive, a TB skin test or blood test, and possibly a chest x-ray are required. A negative TB skin test (PPD - Mantoux) or blood test (QFT, T-Spot) within one year prior to your enrollment is required. Skin test results must be read in 48 to 72 hours and results documented in millimeters, i.e., 0mm. If your TB skin test or blood test is positive, a chest x-ray is required. TB tests must be performed by a U.S. licensed provider.
Returning or Transferring Students from a post-secondary school in Hawai'i (i.e., UH Manoa, UH Hilo, UH West Oahu, Other Community Colleges, Chaminade, HPU, etc.)
Provide documentation of immunity to measles, mumps, and rubella (MMR)
The Hawai’i Department of Health has proposed adding additional required immunizations. Although not currently required for enrollment, these additional vaccines are: a) Meningococcal, b) Tetanus/Diphtheria/Pertussis (Tdap), and c) Varicella. The Meningococcal vaccine is STRONGLY RECOMMENDED for college students, especially students who intend to live in the campus residence halls, as there is an increased risk of this highly contagious disease in this campus population. The serogroup B Meningococcal (MenB) vaccination should also be considered; please discuss with your health care provider.
Other vaccines highly recommended include: a) Polio, b) Human Papilloma Virus, c) Hepatitis A and d) Hepatitis B. All vaccines are available at the University Health Services Mānoa.
Persons claiming religious exemption to immunization requirements must sign a Religious Exemption Waiver Form (PDF) . There are NO religious exemptions to Tuberculosis clearance requirements.
The Leeward Community College Student Health Center offers the TB test as well as the MMR immunizations. The TB test is offered during normal clinic hours, except on Thursdays. The MMR immunizations are offered during normal clinic hours, Tuesdays-Fridays. For women of child-bearing age, the MMR vaccine is only given while on menses, on some form of birth control, or with a negative pregnancy test on the day of administration. No appointment is necessary.
Health clearance forms can be faxed to: (808) 455-0267, mailed, or sent via a secure email using FileDrop (see procedures below):
FileDropping (Securely emailing) Your Medical Records: