Immunization Policies

Each student accepted for admission at Flagler College must submit a signed permission to treat form, medical history form, and immunization information form before registration. The college requires the forms in accordance with the Florida Board of Governors Regulation 6.001.(9) 

Flagler College requires documented proof of immunizations against Measles, Mumps, and Rubella (MMR). Also, pursuant to Florida Board of Governors Regulations 6.007, Flagler College requires documentation of immunization against Hepatitis B and Meningococcal Meningitis. A waiver can be signed for each declined Hepatitis B and Meningococcal Meningitis immunization. Please review the information below on the risks of not receiving these immunizations and possible restrictions.

International students must also show proof of Tuberculosis testing. 

More information can be found under the ACHA Guidelines: Immunization Recommendations for College Students.

New Student Requirements

All incoming students must complete:

  • Permission to Treat Form
  • Immunization Form, providing proof of required immunizations
  • Medical History Form (completed on Student Health Portal)

The permission to treat form, immunization verification process, and the waiver/exemption process are now handled through our partnership with Med+Proctor. Use the following instructions to complete and submit the required forms and information. A short video is provided for more information on Med+Proctor.

Immunization Compliance YouTube Thumbnail - Students chatting in a library

Required Forms

  1. You must set up your Flagler College email before connecting to Med+Proctor. If you have not received your Flagler College email address, check your junk/spam email folder of the email address you provided to the College. If you still cannot find your email, contact
  2. Log into Med+Proctor with your Flagler College email address and password. 
  3. Complete the information requested on the screen and select Continue to save. Be sure to choose the correct "Requirement Group."
  4. Med+Proctor will ask you to read and agree to the End User Agreement. Enter your name and acknowledge the terms of use.
  5. Flagler College requires you to sign and agree to the Permission to Treat form. Enter your name and acknowledge. This allows Health Services staff to treat you.
  6. Please complete the brief Tuberculosis Questionnaire before continuing if you are an international student.
  7. Med+Proctor has optional lifetime access to your records for all students. You may either select to enroll in this access for a one-time fee of $10 to Med+Proctor by choosing the green button. To submit your forms for free, please press the gray button, but you will not have access to your immunization records.
  8. Under Documents, download the Immunization Certificate form to take to your medical provider or obtain your current immunization record from your provider as supporting documentation. Please note: any other official documents submitted must include your name, signature, and signature from a licensed health care provider. The waivers and exemption forms, which are optional, can be found here as well.
  9. Once completed, you will upload the completed Immunization Certificate form or immunization record from your medical provider into Med+Proctor.  If you completed any waivers or exemptions, upload these to the system for review.  
  10. Please allow two to three business days for processing and verification. Med+Proctor will contact you via a secure message to your Flagler email if they have questions regarding your records or forms.

Go to Med+Proctor

Submission-Related Questions


  • Live Chat Available Monday – Friday 8:00 a.m. – 7:00 p.m. EST
  • Allow up to 48 hours to process your submission during normal business hours.
  • Optional Expedite option is available for a $10 fee. Submission is reviewed within the hour during normal business hours.
  • Or email

To access your immunization records in the future, Med + Proctor has optional lifetime access for all students. You may either select to enroll in this access for a one-time fee of $10 to Med+ Proctor by selecting the green button. To submit your forms for free, please press the gray button, but you will not have access to your immunization records.

Required Vaccines

Students born after 1956 must provide proof of immunization for Measles, Mumps, and Rubella commonly called MMR *OR* provide documented laboratory immunity (blood titers).  The MMR is a combination vaccine of 2 shots normally received around 12 months and 4-5 years of age.  As per CDC guidelines, the second MMR dose must have been received at least 28 days after the first dose.

Measles is a highly contagious acute viral infection characterized by a rash, cough, and runny nose, eye irritation and fever.  It is extremely communicable and is spread by droplets from the nose and mouth of an infected person to susceptible individuals.  Measles can lead to ear infections, pneumonia, seizures, brain damage or even death.  In recent years in the U.S. outbreaks have occurred most commonly in adolescents and young adults.

Rubella is a contagious viral infection that causes a rash, mild fever and stiff joints in adults.  A woman who gets rubella while pregnant could have a miscarriage or her baby could be born with serious birth defects.  Its incidence is low in the U.S. due to the increased number of childhood vaccinations against the disease; however, outbreaks continue to occur in susceptible populations, including college students. 

Mumps is an acute viral infection characterized by muscle ache, tiredness, loss of appetite, headache, and fever, followed by swelling of salivary glands.  Transmission of mumps virus occurs by direct contact with respiratory droplets, saliva or contact with contaminated fomites.  Complications of mumps infection can include deafness, inflammation of the testicles, ovaries, or breasts, and spontaneous abortion.  In recent years in the U.S., the majority of cases reported occurred among adolescents and young adults, including college students. 

Hepatitis B is a viral infection of the liver caused primarily by contact with blood and other body fluids from infected persons.  Hepatitis B vaccine can provide immunity against hepatitis B infection for persons at significant risk, including people who have received blood products containing the virus through transfusions, drug use, tattoos, or body piercings; people who have sex with multiple partners or with someone who is infected with the virus; and health care workers and people exposed to biomedical waste. All residential students must show proof of immunization or sign the waiver. If under the age of 18, a parent or guardian must sign the waiver.  The vaccine is usually administered as a three-dose series on a 0-, 1-, and 6-month schedule. The 2nd dose should be given 1 month after the first dose; the third dose should be given at least 2 months after the second dose and at least 4 months after the first dose.  Twinrix series (Hepatitis A & B vaccine) may be used as a substitute for the Hepatitis B series.

The Advisory Committee on Immunization Practices (ACIP) currently recommends meningitis vaccination for persons 16-23 years of age.  The ACIP also recommends a booster dose of the meningococcal vaccine for students who received their primary dose before the age of 16 years. Meningitis is an infection of the fluid of the spinal cord and brain, caused by bacteria and usually spread through the exchange of respiratory and throat secretions (i.e., coughing; kissing). Bacterial meningitis can be quite severe and may result in brain damage, hearing loss, learning disability or even death.  Although rare, individuals who live in close proximity to others, such as in residential halls, have a slightly higher risk of contracting this disease. All residential students must show proof of immunization or sign the waiver. If you are under the age of 18, a parent or guardian must sign the waiver for you.

Optional Vaccines (Strongly Recommended)

Information on the below vaccines can be found at the CDC

  • COVID-19
  • Hepatitis A
  • Human Papillomavirus (HPV)
  • Influenza
  • Meningitis B
  • TDAP(Tetanus/Diphtheria/Pertussis)
  • Varicella (for those who have not had chickenpox)

Medical / Religious Exemptions

Students may seek an exemption from their vaccines due to medical or religious reasons. The College retains the sole discretion to approve or deny such requests. The exemption-seeking student has the heavy burden of demonstrating how the proposed exemption will not jeopardize the health and safety of the College community. 

  • Medical exemption: Requires the Med+Proctor medical exemption form to be filled out.
  • Religious exemption: Exemptions must be signed by a religious leader (if you are a member of a church), or if you are not a member of a church, you must write a letter stating your personal beliefs
  • The student/parent/guardian must also sign the exemption request form found in Med+Proctor.

The student has the right to appeal the decision if it is believed that this decision was made in error or if there is additional information not originally provided. Such appeals must be submitted in writing to the Senior Director of Health and Wellness Mary Tinlin at and submitted no later than 48 hours after the denial notice was delivered. The decision of the Senior Director of Health and Wellness is final.

Exemptions Risks And Restrictions

A student who is granted an immunization exemption is subject to the following possible restrictions:

  • Travel - Students who are deficient in any of the required vaccinations, and some recommended, may not be permitted to travel outside of the United States on a Flagler College-sponsored trip. This includes any programs sponsored by the International Center, i.e. Study Abroad and exchange. Such students may not be allowed to travel within the United States on a Flagler College-sponsored trip (including spring break service and study away programs) if the trip may put the non-immunized student, any member of the traveling group, or any member of the Flagler College community at risk. 
  • Outbreak of Disease - Students may be subject to exclusion from the Flagler College campus if a case of one of the above vaccine-preventable diseases (or any disease related to the diseases listed above) is identified on campus. The student is responsible for any loss of fees, credit hours, and/or missed assignments associated with the leave.

Flagler College reserves the right to modify these restrictions at any time and for any reason.


Contact Health Services by email at or call 904-819-6211.

Hours of operation are Monday - Friday, 7 am - 4 pm unless otherwise posted.

Health Services is committed to maintaining a safe and healthy campus for our students.