Immunization Form/Meningitis Waiver (required)
After completing this form, please mail it to:
University Health Center, University of Maryland
College Park, MD 20742
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Option B: University of Maryland campus residents can request an exemption of this immunization online.
State of Maryland Meningococcal Vaccine Law
Maryland law requires that every individual enrolled at the University of Maryland and who resides in on-campus housing be vaccinated against meningococcal disease. A student may be exempt from this vaccination requirement if he or she meets the following conditions: the student (or parent/legal guardian in the case of a minor), after having been advised of the risks of the disease and the availability and effectiveness of the vaccine, signs a written waiver stating that he or she has reviewed the information and has chosen not to be vaccinated against the disease. This law includes both undergraduate and graduate students. Please have this form completed and returned to the University Health Center. You will not be allowed to remain in campus housing until you comply. Revised 6/2001
If you have any questions regarding immunizations, please call (301) 314-8114 or email immunization@health.umd.edu.
About the Meningococcal Vaccine
A meningococcal vaccine is available for protection against most strains of the bacteria that causes meningitis. Meningitis is the inflammation of the covering of the brain and spinal cord that is fatal in 10 to 15 percent of the cases. Though the disease is rare, college students living in dormitories and individuals with weak immune systems can be more susceptible to the disease. The immunization requires one injection in the arm and is 85 to 90 percent protective against strains A, C, Y and W-135, but not type B. Most Meningococcal diseases in the U.S. are caused by types B or C. A booster is recommended after three to five years, if still at higher risk.
The vaccine is available at the University Health Center. Call 301.314.8184 to make an appointment or for pricing information.
For more information, call 301.314.8114. Please bring your Student Identification card.
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