Immunization Requirements

A record of all immunizations is required for all full-time students.  Full-time is 12 or more undergraduate hours and 9 or more graduate hours.  You can download the Certificate of Immunization by choosing one of the options below:

• Certificate of Immunization (Adobe)
  • Please note that Hepatitis B is now required.  All entering students must either receive the shot series or sign a waiver. 
• Certificate of Immunization (Word, 1.7 Mb)
• Commonwealth of Virginia Certificate of Religious Exemption (pdf, 5k)

The Code of Virginia (Section 23-7.5) requires students to provide documentation of their immunization by a licensed health professional. If you are unable to provide appropriate documentation, vaccines may be repeated. If you neglect to submit this form, or if your immunizations are not up to date, a hold will be placed to prevent class registration.

Please note all students must provide verification of two doses of the MMR vaccine. Click here for more information: Strategy to Protect College Students from Mumps

Also, the Longwood University Policy requires students to provide proof of immunization upon enrollment.  Failure to comply with this policy can result in the student being unable to register for the following semester!  

Deadlines: 

• Fall Semester -  July 10
• Spring Semester - January 10

Mail your completed form to:

Student Health and Wellness Center
Longwood University
201 High Street Farmville, VA  23909
Phone: 434.395.2102
Fax: 434.395.2783