All residents are required to complete this Mount Mary University Health Record form to provide documentation of immunization record for up-to-date measles, mumps and rubella (or two MMR vaccines);the chickenpox vaccine or history of disease; and tetanus diphtheria pertussis immunizations. The hepatitis B; meningitis; polio and a TB skin test are strongly recommended. If a resident waives the immunization requirement due to religion, personal conviction, or medical contradictions, an immunization form must be signed and on file with the Department of Residence Life. If documentation is not received in the Office of Residence Life 10-days after the start of each semester, the resident may be asked to move out of the residence hall.