Health Sciences Immunization Program (HSIP) (2024)

Table of Contents
HSIP Immunization, Titer, and TB Screening Requirements The HSIP requirements checklistprovides a summary of Health Sciences Immunization Program (HSIP) requirements and acceptable documentation for each item. Full instructions will be available in the CastleBranch account students purchase to submit documentation. Vaccine, Titer, and TB Screening Resources & Records Healthcare Resources: Insurance Recourses: Documentation Requirements All required documentation components must be included in your vaccinerecord submission: All required documentation components must be included in your lab result submission: If you have access to your records through a patient portal, you may be able to access your report by going to the lab tab details and clicking the printer icon in the upper right-hand corner. Make sure the header is set to be included, then save a copy of the print screen as a PDF. Result Trends documents are not acceptable; this type of report does not include the source of the record and therefore is not verifiable. COVID-19 Vaccine Information Staying up to date with COVID-19 vaccinations is required for all students in HSIP participating programs inaccordance with HSIP policy, US Food and Drug Administration (FDA) COVID-19 recommendations and Centers for Disease Control and Prevention (CDC) Guidelines for Healthcare Workers. Spring 2024 entering students are required to provide one of the following: Summer and fall 2024 entering students will be required to submit documentation of a2024-2025 COVID-19 vaccine. A COVID-19 vaccine to-do action will populate in student CastleBranch accounts in the fall. COVID-19 vaccines may be administered without regard to timing with other routine vaccines and TB screeningrequired for HSIP students. Students may request a 90-day extension for an updated COVID-19 vaccinefollowing a recent COVID-19 infection. Hepatitis B Students are required to provide documentation of botha completed full Hepatitis B vaccineseries (2-doses of Heplisav B or 3-doses all other Hepatitis B vaccines) and proof of immunity through a postvaccination Quantitative Hepatitis B Surface Antibody Titer, in accordance with CDC recommendations for healthcare personnel and HSIP policy. You will first need to complete the Hep B vaccine series, through one of the following vaccine series (previous childhood vaccine dosesare acceptable andcount toward completing a full vaccine series): After completion of a full Hep B vaccine series, you need to complete a Quantitative Hepatitis B Surface Antibody Titer (HBsAb-QN). The Quantitative Hep B Surface Antibody Titer is a serologic test to verify immunity from your vaccine series. This lab test needs to be requested through a physician’s order. If your Quantitative Hep B Surface Antibody Titer (HBsAb-QN) is non-reactive/negative/equivocal: In accordance with CDC guidelines for healthcare workers and HSIP policy, a documented full Hepatitis B vaccine series is required followed by postvaccination HBsAb titer. An individual is considered aHepatitis B non-responder once they have completed two documented Hepatitis B vaccine series followed by a negative/equivocal HBsAb titer. Hepatitis B non-responders must complete the following steps: Individuals with a known history of chronic or acute Hepatitis B Infection should complete the following steps: Tuberculosis (TB) Screening Students are required to provide documentation of a current Tuberculosis (TB) screening in accordance with CDC recommendations for healthcare personnel and HSIP policy. TB screening is used to detect TB infection and is not a vaccine. A current TB screening is required to be completed by the designated dates required by your program and available in your CastleBranch account instructions. A baseline individual TB risk assessment must be completed upon entry into your program. The risk assessment can be useful in interpreting TB test results. Vaccine Exemptions Exemption requests forrequired Health Sciences Immunization Program (HSIP) vaccinesmust be requested upon admission into your school/program by the date listed below. Exemption requests for fall vaccine requirements,influenza and COVID-19 vaccines are also due by this date. Vaccine medical exemption requests must be submitted by the exemption due date based on your admission quarter into your HSIP participating program. Students with new or worsening health concernsmay submit a medical exemption request at any time. Medical exemption requests are reviewed by the HSIP medical director for medical validity. Additional testing, medical consultation, and/or documentation may be required to receive an exemption. Vaccine religious exemption requests must be submitted by the exemption due date based on your admission quarter into your HSIP participating program.Students may submit a vaccine religious exemption request after the due date; however, programs may not be able to accommodate late requests. Religious accommodations for required HSIP vaccines must be approved by the student's school/program. Due to the nature of health sciences training programs, non-religious vaccine declinations are not accommodated by health sciences programs participating in the Health Sciences Immunization Program (HSIP). Please contact your program directly if you have questions regarding personal non-religious declinations. Reimbursem*nt of Uncovered Costs Related to Exposures CastleBranch Troubleshooting Tips to ensure successful uploading of your documents into CastleBranch: Items rejected in CastleBranch are missing required documentation components. You may review the rejection reasonby clicking on the + icon next to the requirement name in your CastleBranch to-do list. The rejection reason will be at the top of the dropdown. You are considered temporarily compliant if you are between vaccine doses or waiting to complete your Quantitative Hepatitis B Surface Antibody Titer. The requirement will show as incomplete in your CastleBranch account with a future due date.You are considered temporarily compliant while completing the series as long each new due date is met. Instructions for downloading an immunizationsummary from your CastleBranch account: CB Immunization Summary. Contact CastleBranch for questions regarding account set up or technical issues only. Contact Health Sciences Immunization Program (HSIP) Contact

Updated March 7,2024

The Health Sciences Immunization Program (HSIP) ensures students enrolled in health sciences academic programs comply with the requirements detailed in the University’s affiliation agreements with clinical and practicum training sites. These affiliation agreements require students to complete and document immunizationsand tuberculosis (TB) screening as recommended by the Centers for Disease Control and Prevention for healthcare personnel. The requirements reduce the risk of exposure to communicable diseases for students and their patients/clients.Students are required to comply with updated CDC and HSIP requirements upon enrollment and continue to meet ongoing requirements until completion of their degree program, even if those requirements change during a student’s enrollment.It is the student’s responsibility to meet any requirements of a training site that may differ from those requested by HSIP.

Due to the nature of health sciences training programs, exemptions are rarely granted and only in alignment with CDC recommendations for documented medical conditions for which there is a vaccine contraindication, HSIP policy, and University policy and practice.Please refer to the Vaccine Exemptions section on the HSIP webpage and theHealth Sciences Immunization Program Policyfor details about exemptions to HSIP requirements.

HSIP Phone Consultation: If you would like to talk directly to an HSIP staff member regarding your requirements, please schedulea 20-minute phone consultation using thisCalendly link:https://calendly.com/myshots/30min. Please note: Phone consultation appointments need to be made 24 hours in advance; HSIP does not offer same-day consultation. For healthcare resources refer to Vaccine, Titer, and TB Screening Resources & Records section below.

Students enrolling in these UW health sciences programsthat require clinical or practicum training to completethe degreeshould expect to receive notification from academicprogram staff of the HSIP requirements:

  • Seattle campus HSIP Programs
    • Medicine (MED)
    • MEDEX – Seattle, Tacoma, Anchorage, Spokane, and Hawaii
    • Medical Laboratory Science/Laboratory Medicine
    • Rehab Medicine (DPT/MOT/MPO)
    • Genetic Counseling
    • Dentistry (DDS and most post-doctoral students)
      Endo/OralB/OralM/Ortho/Perio/Pros
    • Pharmacy Doctorate (PharmD)
    • Nursing (BSN/ABSN/DNP/Certificate)
    • Social Work (BASW/MSW)
    • Public Health (MPH/Nutrition)
    • Speech & Hearing Sciences (SPHSC)
      CoreSLP/MedSLP/EdSLP/AuD/AuD-PhD
  • Tacoma campus HSIP programs
    • Social Work (BASW/MSW)

Please note:

  • Pre-health sciences students do not participate in HSIP.
  • UW Bothell:Health sciences students follow their program’s guidelines, rather than participating in HSIP.
  • UW Tacoma: Social Work and MEDEX students participate in HSIP. Other Tacoma health sciences students follow their program’s guidelines.

HSIP contracts with a vendor, CastleBranch, to track immunization and TB testing compliance. Each health sciences school or program sends instructions to accepted studentsfor creating their UX CastleBranch account, including deadlines for meeting HSIP requirements. Some programs require additional CastleBranch accounts for background checks and drug screeningswhich are not related to the HSIP UXaccount. Each account type must be set upseparately.

There is a one-time fee to set up theUX CastleBranch accountpaid directly to the vendor when creatingthe account.

UX CastleBranch accounts by program:

UX51 -Dentistry (DDS, IDDS,Endo/OralB/OralM/Ortho/Perio/Pros)
UX52 - MEDEX
UX53 -Medical Laboratory Science/Laboratory Medicine
UX54 - Medicine (MED)
UX55 -Pharmacy Doctorate (PharmD)
UX56 - Occupational Therapy (MOT)
UX57 - Physical Therapy (DPT)
UX58 - Prosthetics & Orthotics (MPO)
UX59 - School of Public Health MPH (EPI/ENVH/GLOBLH/Genetics/HSERV - Online/COPHP)
UX60 - School of Public Health Nutrition
UX61 - Speech & Hearing Sciences (SPHSC) - (CoreSLP/MedSLP/EdSLP/AuD/AuD-PhD)
UX62 - School of Social Work Seattle (BASW/MSW)
UX63 - School of Social Work Tacoma (BASW/MSW)
UX64 - School of Nursing (BSN/ABSN/DNP/Certificate)
IY97 - Genetic Counseling

Once you enter a participating health sciences school or program, you will pay theHSIP feeto cover the cost of administering the Health Sciences Immunization Program.

The amount of the fee is subject to change on a yearly basis and is attached to your tuition account for as long as you remain in your UW health sciences school or program.

Read the2023-2024Annual HSIP Fee(PDF)for specific details about how the health fee was calculated for the current school year.

Please note that the health fee is not health insurance.More information about getting health insurance coverage can be found on theHall Health Center website.

We recommend students learn what health services are offered at the student health center on their “home” campus and in the community.Our Health Care Resourcesinformation sheet may also be of assistance for students who need initial or ongoing services in the WWAMI region (Washington, Wyoming, Alaska, Montana, and Idaho).

HSIP Immunization, Titer, and TB Screening Requirements

The HSIP requirements checklistprovides a summary of Health Sciences Immunization Program (HSIP) requirements and acceptable documentation for each item. Full instructions will be available in the CastleBranch account students purchase to submit documentation.

It is recommended that you print the HSIP Requirements Checklist to ensure you meet each requirement. It is helpful to take this checklist with you to your medical appointments so your provider can refer to what is required.

Vaccine, Titer, and TB Screening Resources & Records

All HSIP required vaccines can be obtained through the following healthcare resources:

  1. Through your primary care provider
  2. Pharmacies in your local area (Bartell Drugs, Costco, CVS, Fred Meyer, QFC, Rite Aid, Safeway, Walgreens, WalMart, etc.)
  1. CDC Vaccine Finder - vaccines.gov
  2. WA State Department of Health (DOH) Vaccine Finder https://prepmod.doh.wa.gov/appointment/en/clinic/search
  3. Hall Health, UW Seattle campus health center. Please call (206) 685-1011 to schedule (identify yourself as an HSIP participating student)
  4. Pharmacy & clinic resources near Seattle & Tacoma UW Campus
  5. Care-a-Van Mobile Health Services- Health serviceevents in WA state for free vaccines. Care-a-Van services are no cost, with one exception. People with health insurance indicating that Care-a-Van health services are out-of-network may be billed for flu or COVID-19 vaccinations.
  6. Urgent Care/Walk-in Clinics (Do an internet search, "Urgent Care Clinics/Walk-in Clinicsnear me")
  7. Additional Healthcare Resources

Contact HSIP at myshots@uw.edu for additional resources if needed.

Titers are a serologic lab tests to verify immunity to an infectious disease. TB screening is used to determine whether an individual has a current or latent TB infection (it is not a vaccine). TB screening using the IGRA blood test method is the preferred testing method; HSIP accepts eitherthe QFT-Gold and T-Spot lab tests.

Titers and IGRA TB screening both requirea physician’s order which can be obtain through the following healthcare resources:

  1. Through your primary care provider,
  2. Hall Health, UW Seattle campus health center. Please call (206) 685-1011 to schedule (identify yourself as an HSIP participating student)
  3. Clinic resources near Seattle & Tacoma UW Campus
  4. Urgent Care/Walk-in Clinics (Do an internet search for"Urgent Care Clinics/Walk-in Clinics near me.")
  5. Student online lab orders
  6. Additional Heathcare Resources

Contact HSIP at myshots@uw.edu for additional resources if needed.

Prior immunizationrecords may be accepted for MMR, Varicella, Hepatitis B, and Tdap vaccine requirements. NOTE: Tdap vaccination must be completed within the past 10 years OR a Td vaccinationcompleted within the past 10 years ANDdocumentation of aTdapadministered on or after 6/1/2005.

Suggested places to check for old immunization records:

  • State Immunization Information System - Links to state resources
  • All previous healthcare providers
  • All pharmacy records where vaccines were administered
  • Previous employers* (employee health records) including military*
  • College or other post-secondary institutions* (K-12 records that are not provider-verified are not accepted)
  • Department of Health
  • Provider-verified immunization booklet (Afacility stamp or provider signature is required next to each recordedvaccine dose. Unverified records should be taken to your provider or local public health clinic and documented in an official medical record or state immunization registry).
  • Additional Tips for Locating Old Immunization Records

*Immunizationsummaries are not accepted for titers and TB screening lab results. Please obtain a copy of the full lab report.

If you are unable to locate prior immunization records, HSIP recommends the following:

  • MMR - You may be able to verify immunity by completing MMR IgGtiters for each component(measles, mumps, and rubella). NOTE: If any MMR titer is negative, you will need to proceed with completing the 2-dose MMR vaccine series (2nd dose should be given 1 month after the first).
  • Varicella - You may be able to verify immunityby completing a varicellaIgGtiter.NOTE: If your varicella titer is negative, you will need to proceed with completing the 2-dose varicella vaccine series (2nd dose should be given 1 month after the first).
  • Hepatitis B - Please refer to UndocumentedHepatitis B Vaccine section.
  • Tdap - Please complete a current Tdap vaccine dose.

Prior immunization records are not applicable for Influenza and COVID-19 vaccineswhich require up to date vaccination.

Healthcare Resources:

  • Clinic resources that can assist with eligibility for WA State Health Insurance Plans and/or offer care using a sliding scalepayment:
  • Vaccineresources
    • Care-a-Van Mobile Health Services- Health serviceevents in WA state for free vaccines. Care-a-Van services are no cost, with one exception. People with health insurance indicating that Care-a-Van health services are out-of-network may be billed for flu or COVID-19 vaccinations.
    • CDC’s Bridge Access Program- Free COVID-19 vaccines for uninsured individualsavailable through December 31, 2024.

Insurance Recourses:

Documentation Requirements

All required documentation components must be included in your vaccinerecord submission:

  • Full name. If the name on yourrecord does not match your current legal name you will be required to verify your name change through submission of a legal name change document (court issued record, marriage certificate, etc.).
  • Name of vaccine administeredand full date of administration (mm/day/year).
  • Documents must be from a verifiable medical source (medical record, clinic or provider signature/stamp, or certified state immunization registry. Handwritten K-12 records signed by parents are not acceptable.
  • When submitting a vaccine booklet the following must be included:
    • The front page of the booklet with full name must be included in the same file upload as the vaccine documentation.
    • Each vaccine dose listed must include a provider signature/initials or facility name.
  • Pharmacy printouts, provider/clinic-verified childhood immunization information, and state registry records are all acceptable proof of immunization.

All required documentation components must be included in your lab result submission:

  • Full name. If the name on yourrecord does not match your current legal name you will be required to verify your name change through submission of a legal name change document (court issued record, marriage certificate, etc.).
  • Test name with results as specified by test:
    • MMR & Varicella IgG Titers - results may be qualitative (e.g. positive/negative)
    • Quantitative Hepatitis B Surface Antibody Titer - results should be quantitative (numeric value). A qualitative result (positive/negative or reactive/nonreactive) is acceptable only when a numeric interpretation reference range is also included (e.g. immunity ≥10 mIU/mL). NOTE: The Hepatitis B titer must be drawn AFTER a documented full Hepatitis B vaccine series has been completed.
    • IGRA Blood Test
      • Acceptable IGRA blood tests are either a QuantiFERON-TB Gold test or a T-Spottest
      • Qualitative results (positive/negative)
      • Numeric values preferred but not required.
  • Specimen date of collection (blood draw date)

If you have access to your records through a patient portal, you may be able to access your report by going to the lab tab details and clicking the printer icon in the upper right-hand corner. Make sure the header is set to be included, then save a copy of the print screen as a PDF.

Result Trends documents are not acceptable; this type of report does not include the source of the record and therefore is not verifiable.

This document should have your full name, test name, collection date, results, and show the source of the record.

If alab was completed through LabCorp orQuestDiagnostics, you can find the lab report through their sites:

COVID-19 Vaccine Information

Staying up to date with COVID-19 vaccinations is required for all students in HSIP participating programs inaccordance with HSIP policy, US Food and Drug Administration (FDA) COVID-19 recommendations and Centers for Disease Control and Prevention (CDC) Guidelines for Healthcare Workers.

Practicum facilities may deny unvaccinated students access to their site, which may result in an inability to fulfill academic requirements. If you have questions about academic requirements, please contact your school or program.

Spring 2024 entering students are required to provide one of the following:

  • An updated 2023-2024mRNA vaccine (Pfizer/Comirnaty or Moderna/Spikevax) dated on or after9/12/2023.

OR

  • An updated 2023-2024Novavax vaccine dated on or after 10/03/2023 PLUS documentation of at least one additional COVID-19 vaccine (additional vaccine must be approved for use by theWorld Health Organization).

An annual fall seasonal COVID-19 vaccine is anticipated each year.

Records must be from a medically verifiable source and include full name, type of vaccine/manufacturer, and dates of administration.

Summer and fall 2024 entering students will be required to submit documentation of a2024-2025 COVID-19 vaccine. A COVID-19 vaccine to-do action will populate in student CastleBranch accounts in the fall.

An annual fall seasonal COVID-19 vaccine is anticipated each year.

Records must be from a medically verifiable source and include full name, type of vaccine/manufacturer, and dates of administration.

COVID-19 vaccines may be administered without regard to timing with other routine vaccines and TB screeningrequired for HSIP students.

For additional information, refer totheCDC guidance on co-administration of COVID-19 vaccines with other vaccines and CDCInterim Clinical Considerations for Use of COVID-19 Vaccinesregarding TB screening without regard to timing of COVID-19 vaccination.

Students may request a 90-day extension for an updated COVID-19 vaccinefollowing a recent COVID-19 infection.

Completethe COVID-19 Vaccination Extension Request Form and return it to HSIP at myshots@uw.edu.

NOTE: Students will have a 10-day grace period to get vaccinated once the extension expires.

Hepatitis B

Students are required to provide documentation of botha completed full Hepatitis B vaccineseries (2-doses of Heplisav B or 3-doses all other Hepatitis B vaccines) and proof of immunity through a postvaccination Quantitative Hepatitis B Surface Antibody Titer, in accordance with CDC recommendations for healthcare personnel and HSIP policy.

If you already have a completed Hep B vaccine series and a Reactive Quantitative Hep B Surface Antibody Titer that is dated after the vaccine series, please combine both the Hep B vaccine documentation and the reactive/positive Quantitative Hep B Surface Antibody titer into one PDF file and submit it for the Hepatitis B action in your CastleBranch account for approval. Please note, a full lab report is required; an immunization summary or "results trend" documentis not acceptable.

If you have a completed vaccine series that is older than 10 years, we recommend getting a Heplisav-B booster vaccine dose prior to the Quantitative Hepatitis B Surface Antibody Titerto increase the likelihood of testing positive/reactive on the titer. In the event your titer is negative, additional vaccination would then be required.

You will first need to complete the Hep B vaccine series, through one of the following vaccine series (previous childhood vaccine dosesare acceptable andcount toward completing a full vaccine series):

  1. Energix-B, PreHevbrio, or Recombivax-HB (3-dose series):Doses are given at respectively 0, 1, and 6 months (*minimum dosing intervals are acceptable: dose 1 to dose 2: 4 weeks / dose 2 to dose 3: 8 weeks / dose 1 to dose 3: 16 weeks)
  2. Twinrix (HepA-HepB 3-dose series):Doses are given at respectively 0, 1, and 6 months (*minimum dosing intervals:dose 1 to dose 2: 4 weeks / dose 2 to dose 3: 5 months)
  3. Heplisav-B (2-dose series):*Doses are given at least 4 weeks apart. (Recommended if no previous childhood HepB vaccine series).

*Your Hepatitis B vaccine doses need to meet the minimal intervals to be accepted. If you have a dose that does not meet the minimal intervals, then that dose is considered invalid, and you will need to complete a new Hep B dose to replace the invalid dose.

If your vaccine series is currently in process, submit documentation of the vaccines you have already receivedinto your CastleBranch account. New to-do actionswill be created for subsequent doses followed by the titer.

It is the student’s responsibility to verify insurance coverage of vaccines.

After completion of a full Hep B vaccine series, you need to complete a Quantitative Hepatitis B Surface Antibody Titer (HBsAb-QN). The Quantitative Hep B Surface Antibody Titer is a serologic test to verify immunity from your vaccine series. This lab test needs to be requested through a physician’s order.

How to obtain an order for a Quantitative Hep B Surface Antibody Titer:

  1. Through your primary care provider, or
  2. If you do not have a primary care provider, you can use one of the following resources:
  • Hall Health, UW Seattle campus health center. Please call (206) 685-1011 to schedule (identify yourself as an HSIP participating student)

  • Urgent Care/Walk-in Clinics (Do an internet search for"Urgent Care Clinics/Walk-in Clinics near me.")

  • Student online lab orders

It is the student’s responsibility to verify insurance coverage of titers.

Submitting your titer in yourCastleBranch account:

Upload the full lab report. The lab report must include your full name, date of collection (blood draw date), result and a numeric interpretive reference range. An immunization summary is not acceptable; a full lab report is required.

If your Quantitative Hep B Surface Antibody Titer (HBsAb-QN) is non-reactive/negative/equivocal:

  1. Upload the lab report into your CastleBranch account.

  1. Get an additional Hep B vaccine dose ASAP. HSIP recommends getting a Heplisav-B vaccine;*however, any Hep B vaccine is acceptable.

  1. Get a repeat quantitative hep b surface antibody titer 1 month following the vaccine dose.

You do not need to complete a full second HepB vaccine series unless the repeat titer is also negative or equivocal.

If your repeat HBsAb-QN titer is non-reactive/negative/equivocal, new alerts will be created for you to receive the rest of the second vaccine series. Submit completed doses as received.

*Heplisav-B vaccines can be received through your primary care provider, the student health center on the Seattle campus, Hall Health, or a local pharmacy.Hall Health’s phone number to schedule is 206-685-1011(identify yourself as an HSIP participating student).

In accordance with CDC guidelines for healthcare workers and HSIP policy, a documented full Hepatitis B vaccine series is required followed by postvaccination HBsAb titer.

Individuals who cannot provide written documentation of a complete hepatitis B vaccination series should complete the series. HSIP recommends getting the Heplisav-B 2-dose vaccine series.Individuals should be tested for HBsAb immunity1monthafter the final dose. HBsAb titers drawn prior to completion of a full documented vaccine series are not acceptable.

Submit each dose into your CastleBranch account as it is received,a new action for the next dose/titer will be created with a new due date. You are considered temporarily compliant while completing the series as long as each new due date is met.The HBsAb titer should be drawn 1 month after completion of the series.

An individual is considered aHepatitis B non-responder once they have completed two documented Hepatitis B vaccine series followed by a negative/equivocal HBsAb titer. Hepatitis B non-responders must complete the following steps:

  1. Complete a Hep B Surface Antigen Titer (HBsAg)

  • If the antigen titer is negative, then your provider needs to complete the HSIP Hepatitis BNon-Responder Counseling Form

  • If your antigen titer is positive, then your provider needs to complete theHSIP Acute-Chronic Infection Counseling Form

  1. Complete the Student Acknowledgement Formindicating your non-responder or Hepatitis B infection status and your understanding that additional Hepatitis B vaccination is not required.

Once you have completed the forms, please submit them directly to HSIP at myshots@uw.edu.

Individuals with a known history of chronic or acute Hepatitis B Infection should complete the following steps:

  1. Obtain your most recent Hepatitis B Surface Antigen(HBsAg) titer lab report.
  2. Please have your provider complete the HSIP Acute-Chronic Infection Counseling Form.
  3. Complete the Student Acknowledgement Formindicating your Hepatitis B infection status and your understanding that additional Hepatitis B vaccination is not required.

Once you have completed the forms, please submit them directly to HSIP at myshots@uw.edu.

Tuberculosis (TB) Screening

Students are required to provide documentation of a current Tuberculosis (TB) screening in accordance with CDC recommendations for healthcare personnel and HSIP policy. TB screening is used to detect TB infection and is not a vaccine. A current TB screening is required to be completed by the designated dates required by your program and available in your CastleBranch account instructions.

TB screening should be completed prior to administration of any live vaccines (MMR or Varicella); otherwise wait 28 days after the live vaccine administration.

TB screening can be met through one of the following methods:

  1. IGRA blood test preferred for all students(either a QuantiFERON Gold or T-Spot lab test)
    • Students with a history of receiving the BCG vaccine against TB should get the IGRA test to avoid a false positive PPD skin test.
    • Lab report required, refer to documentation requirements.
    • Refer to the Titers and TB Screeningsection on the HSIP webpagefor IGRA testing resources.
  2. TWO separate TB skin tests/PPDs - First PPD placement and reading 48-72 hours later equals ONE PPD skin test. A SECOND PPD skin test must be placed between 1-3 weeks after the first PPD is read.
    • BOTH PPD tests must be submitted in the same file upload.HSIP TB PPD Skin Test Form recommended to ensure all required documentation is included.​
    • Full name, date each PPD skin test was placed, date each PPD skin test was read, and results documented as a measurement in millimeters.

Students with a previous or current positive TB screening results must complete and submit the following:

  1. Documentation/proof of positive screening (one of the following)
    • Positive IGRA result (either a QuantiFERON Gold or T-Spot lab test) or
    • PPD result 10 mm or greater or
    • HSIP Positive TB Screening Form completed by a healthcare provider.
  2. Chest x-ray radiology report completed after positiveTB screening AND after January 1st of your program entry year.
    • Note: If documentation of a completedcourse of prophylactic antibiotic therapy, including medication name and dates of administration is provided, then chest x-ray may be older.
  3. HSIP TB Symptom Survey (TBSS) Form
    • Note:For annual TB renewals, an updated TBSS form is required. Repeat IGRA/PPD testing, and chest x-rays are not required unless indicated.

A baseline individual TB risk assessment must be completed upon entry into your program. The risk assessment can be useful in interpreting TB test results.

The HSIP TB Risk Assessment Form is required in addition to the TB screening requirement. Please complete the form fully and provide yes/no answers for each question. Submit the form into CastleBranch under the TB Risk Assessment to-do requirement.

Vaccine Exemptions

Exemption requests forrequired Health Sciences Immunization Program (HSIP) vaccinesmust be requested upon admission into your school/program by the date listed below. Exemption requests for fall vaccine requirements,influenza and COVID-19 vaccines are also due by this date.

Admission Quarter to HSIP Participating Program

DUE DATE for Submitting Exemption Request*

2024 Summer

March 30, 2024

2024 Autumn

June 15, 2024

2025 Winter

September 30, 2024

2025 Spring

January 30, 2025

2025 Summer

March 30, 2025

*Students accepting admissionafter the due date will have 10 days from their acceptance dateto submit an exemption request.

Medical exemption requests may be submitted after the due date if you have a change in your medical condition. Contact HSIP manager at myshots@uw.edu.

Vaccine medical exemption requests must be submitted by the exemption due date based on your admission quarter into your HSIP participating program. Students with new or worsening health concernsmay submit a medical exemption request at any time.

Medical exemption requests are reviewed by the HSIP medical director for medical validity. Additional testing, medical consultation, and/or documentation may be required to receive an exemption.

Instructions for submitting a vaccine religious accommodationrequest: Complete the Health Sciences Immunization Program (HSIP) Participant Medical ExemptionRequest for Required Vaccines formand submit it to HSIP at myshots@uw.edu. Do not upload a request into CastleBranch.

Please note: Antibody titers will be required for MMR, Varicella, and Hepatitis B vaccine exemptions to verify immunity status even if a vaccine exemption is approved. TB screening is not eligible for exemption.

Vaccine religious exemption requests must be submitted by the exemption due date based on your admission quarter into your HSIP participating program.Students may submit a vaccine religious exemption request after the due date; however, programs may not be able to accommodate late requests.

Religious accommodations for required HSIP vaccines must be approved by the student's school/program.

Instructions for submitting a vaccine religious accommodationrequest: Complete the Health Sciences Immunization Program (HSIP) ParticipantReligious AccommodationRequest for Required Vaccines formand submit it to HSIP at myshots@uw.edu. Do not upload a request into CastleBranch. The HSIP manager will forward your request to your program's designated program executive for review.

Please note: Antibody titers will be required for MMR, Varicella, and Hepatitis B vaccine exemptions to verify immunity status even if a vaccine exemption is approved. TB screening is not eligible for exemption.

Due to the nature of health sciences training programs, non-religious vaccine declinations are not accommodated by health sciences programs participating in the Health Sciences Immunization Program (HSIP). Please contact your program directly if you have questions regarding personal non-religious declinations.

Exception: Students enrolled in HSIP participating School of Public Health MPH programs may request a non-religious vaccine declination; however, accommodations of an approved declination will require students to complete practicum/capstones in anon-healthcare setting. Contact the HSIP manager at myshots@uw.edu for information.

Reimbursem*nt of Uncovered Costs Related to Exposures

Students at non-UW Medical sites who havea blood or body fluid exposure during a clinical or practicum experience, should use their personal insurance for treatment. HSIP will pay or reimburse any uncovered costs after the student's insurance is billed first.

  • Health sciences students are not considered employees while they are engaging in education-related activities at clinical sites and are, therefore, not covered by workers’ compensation.
  • HSIP assistance with medical expenses is only for BBP exposure; it does not include other types of injuries or illnesses that may be related to your clinical or practicum experience.
  • HSIP does not cover after-insurance reimbursem*nt for exposures related to international travel. Students are strongly encouraged to obtain and carefully review the terms of supplemental travel insurance prior to each trip.
  • Students are eligible for the reimbursem*nt described in this section only if they are enrolled and have paid the HSIP fee.

If your insurance does not cover all the costs associated with post-exposure care, or if youhave questions about reimbursem*nt for expenses related to a BBP exposure, needlestick or sharps injury, pleasecontact HSIP staff by email atmyshots@uw.edu and note in the email subject line: “Reimbursem*nt Question.” Alternatively, you can leave a voice mail message at 206.616.9074.

For more information about what to do after a BBP exposure, needlestick or sharps injury, see theBloodborne Pathogenspage.

CastleBranch Troubleshooting

Tips to ensure successful uploading of your documents into CastleBranch:

  1. Chrome is the preferred web browser.
  2. Convert photo files into PDF files to decrease the file size. Files must be 5 MB or smaller.
  3. Upload files from your computer or flash drive using the Browselink at the bottom of the to-do action (fax/mail is not recommended).
  4. You must upload into each to-do action in your CastleBranch account.
  5. Documents saved in the Document Centerare not accessible by administrators.
  6. If a submission is listed as Pending for more than 48 hours, try submitting it again.

Contact HSIP at myshots@uw.edu to assist with troubleshooting.

Items rejected in CastleBranch are missing required documentation components. You may review the rejection reasonby clicking on the + icon next to the requirement name in your CastleBranch to-do list. The rejection reason will be at the top of the dropdown.

Remediating your rejected submission:

  1. Review the full requirement instructions in your CastleBranch to-do action.
  2. Review the requireddocumentation components to ensure your submission meets the criteria (e.g., your full name must be on the document).
  3. Contact HSIP at myshots@uw.edu for assistance. Do not contact the CastleBranch vendor.

You are considered temporarily compliant if you are between vaccine doses or waiting to complete your Quantitative Hepatitis B Surface Antibody Titer. The requirement will show as incomplete in your CastleBranch account with a future due date.You are considered temporarily compliant while completing the series as long each new due date is met.

Submit each dose as it is received and a new action for the next dose/titer will be created with a new due date.The due date listed in CastleBranch is the date you should get the next vaccine dose in the series. For the HepB titer the due date represents the date you should plan to get the titer drawn.

Students with overdue or rejected items past the due date are considered non-compliant.

Instructions for downloading an immunizationsummary from your CastleBranch account: CB Immunization Summary.

If you have difficulty accessing your CastleBranch Immunization Summary, please contact HSIP at myshots@uw.edu for assistance.

Contact CastleBranch for questions regarding account set up or technical issues only.

CastleBranch Service Desk:Hours of Operation: Monday – Friday 8 am – 8 pm Eastern Standard Time (EST).

  • Phone: 1.888.723.4263
  • Email:customerservice@castlebranch.com

For questions regarding HSIP requirements or rejected submissions in CastleBranch, please contact HSIP directly at myshots@uw.edu.

Contact

Health Sciences Immunization Program (HSIP) Contact

(206) 616-9074

myshots@uw.edu

Reference Files

HSIP Requirements Checklist

237.71KB(.pdf)

Health Sciences Immunization Program Policy (updated 9/11/23)

275.00KB(.pdf)

Health Care Resources

102.99KB(.pdf)

Health Sciences Immunization Program (HSIP) Fee

159.50KB(.pdf)

COVID-19 Vaccination Extension Request Form

60.89KB(.pdf)

Health Sciences Immunization Program (HSIP) (2024)
Top Articles
Latest Posts
Article information

Author: Tish Haag

Last Updated:

Views: 6079

Rating: 4.7 / 5 (67 voted)

Reviews: 90% of readers found this page helpful

Author information

Name: Tish Haag

Birthday: 1999-11-18

Address: 30256 Tara Expressway, Kutchburgh, VT 92892-0078

Phone: +4215847628708

Job: Internal Consulting Engineer

Hobby: Roller skating, Roller skating, Kayaking, Flying, Graffiti, Ghost hunting, scrapbook

Introduction: My name is Tish Haag, I am a excited, delightful, curious, beautiful, agreeable, enchanting, fancy person who loves writing and wants to share my knowledge and understanding with you.