ISP Health Forms

Health Requirements for ISP Students

All students who enroll at De Anza College on an F-1 Visa are required to submit certain health forms that you will find on this webpage or on our online Student Health Portal.

• Once you are admitted to De Anza through the International Student Programs (ISP) office, you will need to complete these forms and submit them them via the online Student Health Portal
• If you don't submit the required forms, the college may place a registration hold on your student records, which will prevent you from registering for classes or obtaining your diploma. 

Tuberculosis Screening

All incoming ISP students are required to complete the TB risk screening form upon arrival at De Anza College. You can find this form and submit it online by visiting the Student Health Portal. Paper copies of the old TB screening forms are no longer accepted.

Tuberculosis screening can be conducted at our Student Health Services office. In many cases, TB risk assessment screening will be included in your new student orientation coordinated by the International Student Programs office.

Students who are identified as higher risk for TB infection should undergo a blood testing (IGRA- QuantiFERON-TB Gold blood test) within the United States, so please do not pursue advanced testing in your country. Instead, expect to complete your TB risk screening upon arrival at De Anza College.

A chest X-ray is NOT ACCEPTABLE as a substitute for a TB risk screening.

Students with a positive TB test result must undergo chest radiography and medical exam. If any X-ray changes or signs and symptoms of active TB are identified, active TB disease must be excluded.

See a sample acceptable test result 

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Measles, Mumps and Rubella (MMR)

Students must show proof of immunity to MMR as documented by evidence of positive blood test ("titer") showing protective antibodies to all three diseases. You must submit a copy of the official lab report through the Student Health Portal.

See a sample of an acceptable titer result

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Students Under Age 18

Students under 18 must submit these completed forms by uploading them to the Student Health Portal. 

• Download the Consent for Treatment of a Minor Form
• Download the Caregiver's Authorization Affidavit
  (Affidavit must be notarized)