Health Sciences Immunization Program (HSIP) for Health Science Students

When you are accepted as a student into a University of Washington (UW) Health Sciences school/program, you are beginning your career as a health professional. During your coursework, training, and future health care career, you may be in close contact with ill clients and patients. You may be at high risk for certain infections, and if you are ill, you may pose a high risk to vulnerable client and patient populations with whom you work. 
For your safety and the safety of your clients and patients, you are required to complete and document immunizations, as well as initial and annual testing for tuberculosis, as recommended by the Centers for Disease Control and Prevention (CDC) for Health Care Personnel (HCP). In addition, some schools/programs require their students to be vaccinated against influenza.
This page has information about how to meet these requirements. Click any of the following links to get more information about that topic:
Table of Contents:
For new students (just entering a health sciences program):
For new students and students continuing in a health sciences program:
       Health Fee

New Students: HSIP Requirements and Forms

If you are entering a health sciences program, complete the following steps to meet the immunization requirements:
1.     Download and review the appropriate online form for your campus. Read the form completely, as it should answer many of your questions about the requirements. The form has details about all of the required immunizations and documentation:
        Seattle HSIP Form 
        Tacoma HSIP Form  
2.     Gather your immunization records. These records may be from multiple sources, e.g., childhood records, employee health summaries, etc. If you have records of immunization at another facility, such as UWMC, Hall Health, or a hospital employee health clinic, obtain a copy of those records.
3.     Make an appointment with a health care provider. This could be your primary care provider, the employee health nurse at the place of your employment, or another health care provider. You will need a provider to review, verify your records, and sign the required form. Make a scanned copy of the documents you receive from your provider. 
4.     Email the completed form and scanned copies of required documentation to Include your name, UW Student ID#, and Program in the body of the email. Email is preferred, but you may also fax the form/documents to 206-616-8434. After faxing, please email to ask if records were received and legible. Always keep a copy of the forms for your personal records. You will receive an automated reply from if your email was received. In addition, HSIP staff will send a personalized reply after faxed or scanned records were reviewed to advise if they are complete or further information is needed.  If you do not receive the automated reply or personalized email, your records may not have been received.
      Please note, HSIP is not part of any campus student health service, and does NOT have access to students’ HIPAA-protected medical records. Be sure to obtain records of any services provided at the student health service to assist you in meeting HSIP requirements. You will need to obtain and send the documentation to  
5.     Make sure HSIP receives all your required documentation by at least 2 months prior to the first day of classes, or sooner if your school/program gave you a specific deadline. If you are entering clinical or practicum sites in summer quarter at the start of the program, submit the information as soon as possible (preferably 1 month prior to the start of classes).
6.     If your Hepatitis B series or titer is “in process,” you must complete this requirement by the end of Autumn (for Summer entry) or Winter (for Autumn entry) quarter. HSIP will track the progress of completing this requirement. Your course registration will be held if you fail to stay on track in meeting these requirements. Email scanned copies of documentation for each dose of vaccine and the titer lab report to Include your name, UW Student ID#, and Program in the body of the email. Keep a copy of each item for your personal records.
See the explanation on the forms or the Frequently Asked Questions (FAQs) section of this website. Or contact the HSIP staff:
HSIP voicemail: 206-616-9074
E-mail: (Please include the question topic in the subject line.)

New and Continuing Students: Annual Screening Requirements

Annual Tuberculosis Screening
After you enter the program and provide documentation of the required immunizations, you must meet an annual TB screening requirement to continue to register for classes each year. You are required to have a yearly TB skin test, or an IGRA (interferon gamma release assay) blood test, or a symptom review (for those who have already sent documentation of a positive TB test).
HSIP provides annual TB skin testing clinics for students on the Seattle campus at dates and times arranged by your school/program. If you wish to do the IGRA test, it will be at your own expense and you will not be reimbursed for it by HSIP.
Submit your annual IGRA test results (or documentation of TB testing done at outside providers) to Please include your Name, UW student ID#, and program in the body of the email, and “Annual TB test results” in the subject line.
If you already sent documentation of a previously positive TB skin test or IGRA to HSIP, please click on this link to send HSIP your answers to the annual TB Symptoms Survey questions.
Annual Influenza Vaccine
Some schools/programs require students to be vaccinated against influenza. Medical, Nursing, Nutrition, Pharmacy, OT, Med Tech, Medex, and Speech and Hearing Students are among those expected to receive influenza vaccine. Even if your program does not require a flu shot, many of the area hospitals and clinics expect students assigned there for clinical placements to show proof of having received an annual flu vaccination.
WAIVERS: If you are in a school/program that requires flu vaccine but have a MEDICAL contraindication to receiving it, submit an annual statement from a provider explaining the need for a medical waiver. There is a required form for this purpose, 2014 Influenza Letter for Providers. The same form can also be used to document influenza vaccine received from an outside provider. Email documentation of a flu vaccine received from outside providers, or waiver letters, to Please include your Name, UW student ID#, and program in the body of the email and “Flu Vaccine” in the subject line.
For answers to questions about the annual requirements, check the Frequently Asked Questions (FAQs) section of this website. Or contact the HSIP staff:
HSIP voicemail: 206-616-9074
E-mail: (Please include the question topic in the subject line.)

Health Fee

Once you enter a participating Health Science school/program, you will pay an annual health fee to cover the costs of administering the HSIP. The health fee is subject to change yearly and is attached to your tuition account each year as long as you remain in your school/program. See the table below for this year’s fee for your program. 
HSIP Annual Health Fee
School of Dentistry
School of Medicine
UW Seattle Nursing (campus)
UW Seattle Nursing (distance learning)
UW Seattle Public Health (distance learning) 
All other Schools/Programs
UW Tacoma, Social Work
If you are in a field of study or clinical or practicum service with high risk to blood borne pathogens, you will pay a higher fee than students who are deemed to be low risk. Students at the Tacoma campus and Bellevue classroom site do not receive clinical or blood borne pathogen exposure services, so they pay an annual administrative-only health fee. 
Please click HERE for more specific details about how the health fee was calculated for the prior and current school years , including the different components that make up the total fee for each school or program.
If you entered a Seattle campus Health Sciences program in 2010 or earlier, you paid a health fee to cover the first four years of your program. However, if the length of your program extended beyond June 2014, the annual health fee was then applied. All Health Sciences students began paying an annual health fee after June 2014.
Students submitting incomplete documentation or late documentation (past the end of the entry quarter) may be subject to additional fees.
The health fee is not health insurance. The Affordable Care Act, also known as Obamacare or the ACA, requires everyone to purchase a health insurance plan. Becoming ill during your academic career can be expensive. Health Science students are not considered employees while they are engaging in education-related activities at clinical sites. Practicum and clinical training, involving real clients and patients, can begin as soon as your first quarter. Should you experience injury or exposure to illness during a clinical rotation, insurance coverage, either via a family member or a policy such as the UW International Student Health Insurance Plan (ISHIP) or the Graduate Appointee Insurance Program (GAIP), may cover the care you need that is not covered by the Health Fee’s blood borne pathogen program or included with your quarterly Services and Activity Fee. HSIP is not part of the student health service on either the Seattle or Tacoma campuses. Students may be eligible for many valuable health services and should check the student health service website for their respective campus to find out about the services available to them. Further information about the Affordable Care Act and obtaining insurance is available on Hall Health’s website.
The health fee covers only the costs of administering the HSIP. For all health fee-paid students, the HSIP:
  •   Reviews all submitted documentation for completeness
  •   Enters the information into a secure occupational web-based, password-
      protected database
  •    Reports each student’s compliance status to their school/program
  •    Places holds on the registration of students who have not met the 

The health fee also covers access to limited clinical services. On the Seattle campus only, the HSIP:
  •  Provides annual PPD skin tests for tuberculosis
  •  Provides annual influenza vaccine, required by many clinical and practicum
      sites and some Health Science schools/programs
  •  Provides follow up and counseling (but not treatment) for positive PPD
  •  Provides counseling, testing and treatment for Blood Borne Pathogen (BBP)
      exposure after a student's insurance is billed and the amount of insurance  
      coverage is determined.

For questions about the Health Fee, check the Frequently Asked Questions (FAQs) section of this website. Or contact the HSIP staff:
HSIP voicemail: 206-616-9074
E-mail: include the question topic in the subject line.)


If you have paid the Seattle campus health fee, you are eligible to be reimbursed for annual flu shots and TB tests you paid for, or blood borne pathogen (BBP) exposure-related expenses, if you meet certain conditions.
  •   To be eligible for flu vaccine or TB test (PPD) reimbursement, you must:
  •   Receive services outside the Seattle area due to clinical assignment
      or WWAMI participation, and therefore not be able to come to HSIP-scheduled
      clinics at the time services are required.
  •   If you could have received services in Seattle during the required time frame,
       but received services elsewhere for your own convenience, these expenses
       are not reimbursable.
  •   Reimbursement is NOT available for services received in Seattle at locations
       other than those scheduled and operated by the HSIP, such as the “offsite
       clinics” at South Campus Center (220 C-D).

For the 2014-15 school year, the reimbursement schedule is:
  •   TB skin test (PPD-Mantoux)           $25.00 (max)
  •   Seasonal Influenza Immunization   $25.00 (max)

To apply for reimbursement of a TB test or influenza immunization:
Email documentation of the TB test or influenza immunization to HSIP for inclusion in your record. Then complete and email the HSIP Student Request for Reimbursement form (with receipts/proof of payment) to Please include your Name, UW student ID#, and program in the body of the email and “Reimbursement Request” in the subject line. Payment will be processed after the immunization is documented.
To apply for blood borne pathogen (BBP) exposure reimbursement:
  •  Print and have available a copy of the current BBP post-exposure protocol
      services listed on this form are the only services that can be
      reimbursed. Produce the UW protocol to any provider you visit outside of
      Seattle. For more information about what to do after a BBP exposure, see the
      BBP Exposure page of this website. 
  •  Make sure that HSIP receives the reimbursement request within 60 days of
      the BBP exposure incident, or the expense will not be reimbursed. If billing
      information or receipts are not available within this timeframe, then notify
      HSIP of the incident and your intent to request reimbursement within 60 days
      of the BBP exposure. HSIP needs to receive an itemized bill of the charges for
      accounting purposes. An Explanation of Benefits after personal insurance has
      paid, along with the bill showing amount owed, is also usually adequate.
See the explanation on the forms or the Frequently Asked Questions (FAQs) section of this website. Or contact the HSIP staff:
HSIP voicemail: 206-616-9074
E-mail: (Please include the question topic in the subject line.)