Checklist for Students and Parents
This page is for you to keep o
Health Record Due Date: Bring to Spring into Maroons Orientation
or by August 1 st for fall semester or January 7 th for spring semester o
Tuberculosis Risk Assessment Form
Please note: If indicated PPD skin test or QuantiFeron Tb Gold (QFT-G) blood test
must be within 1 year prior to arrival at Roanoke College. o
Immunizations: Check with your doctor about the following:
Required:
 MMR (measles, mumps, rubella) 2 doses. On or after 1 st birthday and at least
28 days apart
 Tetanus booster (Tdap preferred) must be within past 10 years
 Polio date series (4 doses) unless 3 rd dose was after 4 th birthday
 Hepatitis B: (3 doses or signed waiver meets requirements)
 Meningococcal Quadrivalent (A,C,Y,W-135) vaccine given on or after 16 th birthday or signed waiver meets requirement.
 Varicella (chickenpox) A history of chickenpox disease, 2 doses of vaccine or positive varicella titer meets requirements.
Recommended:
 Quadrivalent Human Papillomavirus a 3 dose vaccine series
 Hepatitis A: 2 doses
 Influenza: Flu shot clinics will be announced after fall break o
Health Insurance:
Domestic students review medical insurance and ensure your policy provides adequate coverage
while living in Salem, VA for services such as emergency care, lab tests and x-rays. Carry your
health insurance card and prescription drug card with you. o
Medical records and prescriptions:
Have a record of your prescriptions, including dosages and diagnosis/reason for
treatment. If you have chronic/serious medical problems, have a medical summary sent
to Health Services by your treating physician. **If you are currently prescribed
medication for ADD/ADHD, and will be needing prescription refills while at school,
a letter from your physician with documentation of diagnosis and medication dosage is
required and must be dated within 12 months. o
Allergy shots:
Health Services gives allergy shots at regularly scheduled times by appointment. A physician’s
detailed order is required. If initiating allergy shot therapy, we require the ordering physician give
the first injection. Students must wait 30 minutes after injections. o
First aid supplies:
Bring digital thermometer, over the counter cold and pain relief medications, band-aids, topical
antibacterial cream and a chemical cold pack.
Additional information is available at www.roanoke.edu/health