Notice to students starting 6/1/18 (summer quarter) or later: You must wait for updated forms and instructions to be posted on this website in March 2018. DO NOT use these forms or submit any documentation to myshots@uw.edu. Forms and documents will be rejected.

These forms are for students entering a health sciences program prior to 6/1/18 (summer quarter).

2017 HSIP Immunization Form

TB Screening Forms

2017 TB Screening Form A
TB Screening Form for ABSN, MD, and Dentistry Students

2017 TB Screening Form B
TB Screening Form for Rehab Medicine (DPT/MOT/P & O), MLS/Lab Med, Nursing (BSN/DNP/CERT), Social Work (BASW/MSW), PharmD, and Public Health (MPH/Nutrition/HIHIM/Global Health) Students

2017 TB Screening Form C
TB Screening Form for MEDEX Students

2017 TB Screening Form D
TB Screening Form for Speech & Hearing Sciences Students

2017 Influenza Waiver Letter for Providers