Online Immunization Form
Minnesota law requires all students born after December 31, 1956, who enroll in a Minnesota college or university to be immunized against diphtheria, tetanus, measles, mumps, and rubella. This law allows for some exemptions. The law also requires the University of Minnesota to collect the information requested on this form and maintain the record for one year. All University of Minnesota students must complete this immunization form at the start of their college career. Academic Health Center students please note: You must complete a different set of immunization requirements. For more information, please review the immunization requirements web page from Boynton Health.