Regardless of age, all incoming students are required to complete the tuberculosis screening (page 2) portion of the Immunization Record Form.

The Tuberculosis (TB) Screening Questionnaire is required for all incoming students as defined by the Centers for Disease Control and Prevention (CDC) and the Virginia Department of Health. The Tuberculosis (TB) Screening Questionnaire must be completed and submitted within the last 6 months.

If a student answers ‘yes’ to any question in the TB Screening section, a Tuberculosis test (TB test) or blood test must be performed within 6 months of beginning classes. The Immunization Office must have the following documentation:

  • Date placed
  • Date read (48-72 hours after placement)
  • The results in # (mm) form

If the TB test is positive or the student has a history of positive TB, the Immunization Office must have a copy of the test results along with a copy of the most recent chest x-ray report. If a student received treatment for TB or LTBI the student must provide documentation of medication, date started, and date completed.

Additional Resources

Tuberculosis Information in multiple languages (Arabic, Chinese, English, Hindi, Korean, Russian, Spanish, and others)


Immunization records due by First Day of Fall Classes.

All newly admitted or newly re-admitted summer/fall 2018 students must submit immunization records by the deadline. SHS recommends newly admitted students wait until May to begin submitting records due to upcoming form changes.

Past Due Immunization Records

If you have a hold and late fee, you must complete the immunizations and pay the late fee to Student Health Services to have your hold removed. The hold will be released usually by the end of that business day, if after 4:30 pm it will be processed the next business day.


Note: Do not include social security numbers on your immunization records.

Immunization Office

Hours: Monday - Thursday: 8:30- 4:30 pm, Friday: 12:30 - 4:30 pm

Phone: 703-993-2135

Email: *questions only, do not submit records via email*

Address: Student Union Building I (SUB I), Rooms 2347 & 2348

4400 University Drive, MS 2D3, Fairfax VA 22030

Patient Portal

Immunization Forms

Immunization Fees