ELIGIBILITY REQUIREMENTS
FOR SERVICES
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Currently enrolled
Completed health record on file
Paid semester health center fee
NOTICE ALLERGY STUDENTS
Important
information
regarding
scheduling your allergy injections:
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PATIENT RIGHTS AND RESPONSIBILITIES
All students have a right to humane, competent,
and confidential treatment.
Students are
expected to cooperate and participate in their care
by providing accurate information and feedback
concerning their condition, treatment, and
individual needs. At all times there should exist
an atmosphere of mutual respect.
Students planning to utilize this
service will schedule the initial
appointment directly with the
Vaccine Nurse.
Students must call the following
number: 484-646-4128. This is
a direct line to the Vaccine Nurse.
If there is no answer, please
leave a clear message on the
voice mail system with your name
and phone number. The vaccine
nurse will return your call.
CLINICAL SERVICES
ADMINISTRATION OF
ALLERGY VACCINES
484-646-4128
www.kutztown.edu/healthandwellness
VISIT OUR WEBSITE FOR
WHAT YOU NEED TO KNOW ABOUT
 SCHEDULING APPOINTMENTS
 ELIGIBILITY REQUIREMENTS
 VACCINE STORAGE
 DOWLOADED REQUIRED FORMS
FROM OUR WEBSITE
@ www.kutztown.edu/healthandwellness
st
FOR ADDITIONAL INFORMATION CONTACT:
KU Clinical Services
Kutztown University
P.O. Box 730
Kutztown, PA 19530
610-683-4082
484-646-4159 (fax)
www.kutztown.edu/healthandwellness
NOTICE OF PRIVACY PRACTICES
As a member of the PASSHE system,
Kutztown University follows both Family
Educational Rights and Privacy Act (FERPA)
and Health Insurance Portability and
Accountability act of 1996 (HIPAA)
guidelines to protect the confidentially of all
student
health
records.
For
more
information,
visit
our
website
at
healthcenter.kutztown.edu
Clinical Services is located on the 1 floor of
Beck Hall. Access is by the front door of the
Health and Wellness Center located on the
DMZ side of the building.
A member of the Pennsylvania
State System of Higher Education
Mission
Revised August 2015
This information is reviewed annually in the summer and is
revised as needed as new information becomes available.
Kutztown University’s Clinical Services is
the caring intersection between health
and education, fostering wellness one
student at a time.
“Unrivaled Past, Unlimited Future”
ALLERGY VACCINE SERVICES
Students may schedule an appointment
to receive allergy injections as ordered
by their allergist during the fall and
spring semesters. The fee for the
current academic year will be
$10.00 per visit. You are expected to
comply with Clinical Services’ protocol to
receive this service.
ALLERGY VACCINE REVIEW
Prior to the initiation of allergy vaccines,
a student must schedule an appointment
with the allergy nurse to meet and
discuss the allergist’s instructions. At
that time, a student must sign a consent
concerning this service.
SCHEDULING AN APPOINTMENT
An appointment may be scheduled by
calling the Allergy Injection phone line at
484-646-4128. Please leave a message
with your name, a phone number
(preferably cell) and a time when you
can be reached! A staff member will
return a call to you.
APPOINTMENT TIMES
Vaccine hours will be posted each
semester in Clinical Services’. Please feel
free to call if you have any questions
regarding vaccine injection.
All
appointments are scheduled during
physician hours.
SERUM STORAGE
Your serum will be stored in a
refrigerator in Clinical Services. Please
remember to pick it up over breaks and
at the end of each semester so you may
receive your injections at home.
(Clinical Services will not assume
responsibility for serum damage
related to power failures or
fluctuations in the refrigeration
temperatures.)
VACCINE ADMINISTRATION
Your vaccines will be administered in
accordance with the schedule prescribed
by your allergist. It is necessary for you
to remain in Clinical Services for 30
minutes (or as requested by your
allergist) to have your injection site(s)
checked by a nurse.
The first
injection(s) from any new vial(s) of
serum must be given in your
allergist’s office.
MISSED APPOINTMENTS
Please provide 24-hours notice if you
cannot
keep
your
scheduled
appointment.
Students who miss
two
appointments
may
lose
privileges for the remainder of the
semester.
Appointments can be
canceled or rescheduled by calling the
Allergy Injection line.
REQUESTING INFORMATION FROM
YOUR PROVIDER
The following information is needed to
receive your allergy vaccine injections:
Allergist’s name, address, fax and
phone number.
■ Serum
■ Schedule of administration (allergist’s
orders) including:
■
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There may be a 24-hour processing time
between your allergy review appointment
and actually receiving the first injection of
any new serum vial(s) and/or the first
injection(s) of the current semester.
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Dose
Concentration of serum
Frequency
Mixing instructions (if required)
Serum expiration date
Specific instructions if late for
allergy injections (include 1, 2, 3,
& 4 weeks late)
Instructions for local and general
reactions
Date and dose of last injection
received
When to reorder serum and/or
return to your allergist
If applicable, Systemic Allergy
Letter, completed signed and
dated by the allergist.