Mandatory Immunization Requirements for
Colorado School of Mines Students
Fall Semester Deadline – July 1st
Spring Semester Deadline – January 1st
ALL incoming students MUST submit the following items to the CSM Student Health Center by the above deadlines:
- Certificate of Immunization
Text only version- Required for all students - submit proof of two doses each of Measles, Mumps and Rubella (or MMR) vaccinations. This is a mandatory requirement for all college students born on or after January 1, 1957. All doses must be given on or after the student's first birthday. You may use our form, with physician's signature, OR the official immunization record from your school, physician, government or military. Please do not send duplicate information.
- Tuberculosis Screening
Text only version- Required for all students. Answer the questions on the form. IF testing is indicated, please provide the results, signed by your physician.
- Meningococcal Disease
Text only version- Only required if living on campus. It is required by the State of Colorado that you either provide proof of a Meningococcal vaccine given within the last 5 years OR sign a Meningococcal waiver. If the vaccine has been administered within the last 5 years and is recorded on your immunization record, this form does not need to be completed. If you choose to not receive the vaccine, please read and complete the Meningococcal waiver form.
- Health History
Text only version- Only to be completed if student is under age 18. Parent signature is required on this and all other forms as indicated for under age students. This form provides consent to treat a minor in our health facility.
Forms MAY NOT be submitted electronically to the Student Health Center. Please PRINT and mail completed forms to the following address:
CSM Student Health Center
1770 Elm Street
Golden, CO 80401
Upon a student’s bona fide request and submission of appropriate documentation, CSM may grant a waiver of the immunization requirements. Students who choose immunization exemptions should be aware that they will not be able to obtain any immunization from the Health Center during their time on campus. Exemptions for religious or medical reasons will require documentation from either the student’s religious leader or a health care provider.
Please be aware than should an outbreak of any one of these diseases occur on campus, the student may be asked to refrain from attending classes until the outbreak has resolved.
Student athletes participating in NCAA athletics must provide these forms to the Health Center in addition to meeting the requirements of the CSM Athletics Department. Atheletics does not forward this information to the Health Center.
How should the forms be completed if the student is younger than 18 years of age?
Please have a parent or guardian sign the “consent to treat” at the bottom of the Health History page. Until this is signed (or the student turns 18), the student will be unable to receive treatment from the Health Center.
What if I can’t provide proof of MMR immunization, even though I’ve had the vaccines?
Contact previous schools, your county offices, the military or previous health care providers to obtain immunization records. If proof of immunization cannot be obtained, there are two options: you may choose to obtain a blood titer to prove immunity to all three diseases (measles, mumps and rubella) or you may choose to receive both vaccines again.
What if I’ve never had an MMR vaccine, or if one was received before my first birthday?
You will need two valid MMR doses, all received after your first birthday. If you are an enrolled and eligible student, MMRs are available at the Health Center. Due to the recent Measles outbreak, it is highly recommended that you receive at least one MMR prior to your arrival at school.
What if I miss the deadline for form submission?
A hold may be placed on the student’s Trailhead account if forms are not submitted by the due date. With a hold, students will be unable to register, add or drop classes, or pull a transcript.
What if I have a more specific situation than mentioned here?
Please feel free to call the Health Center at 303-273-3381 with any questions—we are more than happy to help!