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2020-2021 Health and Immunization Form

North Carolina General Statute §130A 152-157 requires that ALL students entering college present a certificate of immunization which documents that the student has received the immunizations that are required by law. This documentation must be signed by a healthcare provider and include an office address. Students may be withdrawn from the college 30 days after classes begin if the mandatory immunization and TB requirements have not been met.

Deadlines for submission OF ALL Magnus PAGES:

  • Fall admission–Aug. 1
  • Spring admission–Jan. 1

Basic Instructions:

  • All Immunization records are required to be submitted in, or translated into English, and in MM/DD/YYYY format.
  • Include name and Greensboro College ID number on all forms.
  • Forms completed at a doctor’s office, clinic or health department must contain an “official Stamp” and/or clinician signature for documents to be complete and accepted.


The following steps are MANDATORY:

  • Step 1: Have a doctor’s office, clinic or health department complete the Immunization Form or submit a completed immunization form from their office.
  • Step 2: Upload the Immunization Form and your Insurance information into Magnus. You will have a welcome email from Magnus in your Greensboro College email with your username and password.
  • Step 3: Complete the Vital Health History, Attestation of Truth, and Tuberculosis Questionnaire (in Magnus) –All incoming students must be screened for tuberculosis risk factors through a screening questionnaire.



Your Username & Password are in a welcome email from Magnus in your Greensboro College email! Log in at


Acceptable Records of your Immunizations may be obtained from any of the following:

  • Personal shot records – Must be verified by a doctor’s stamp or signature or by a clinic or health department stamp.
  • High School Records – These may contain some, but not all of your immunization records. Your immunization records do not transfer automatically. You must request a copy.
  • Local Health Department
  • Previous College or University Records – Your immunization records do not transfer automatically. You must request a copy.
  • Military Records or WHO (World Health Organization) Documents – These records may not contain all of the required immunizations.


IMPORTANT! Your information will be reviewed by staff. You will be notified via Magnus and or your GC email if additional information is needed. Keep a copy for your records. There are occasions when you may need to resubmit your documentation.

Information about Meningococcal disease and Meningococcal vaccine can be found on the Student Health Service web page at

Health Services

Current News: The college is pleased to be partnering with Magnus Health, which will aid in providing the best and most up-to-date care for students. Magnus Health is an electronic record-keeping system that allows you access to your health records even after graduation. Students are required to log in and create a Magnus Health account at The $25 charge is a one-time fee no matter how long you are in school and will provide you access even after graduation.

The central focus of Health Services is prevention, education, self care and wellness. The Student Health Center provides medical care for acute illnesses and injuries.

The Student Health Center is conveniently located on the first floor of Greensboro Building, directly above the cafeteria. Some of the services offered are:

  • Management of acute problems by a registered nurse, with easy access to a physician by telephone Monday through Friday.
  • Physician Assistants are available by appointment 6 hours per week.
  • Over-the-counter medication is available at no cost to the student.
  • Laboratory testing, when ordered, will be billed to your insurance by Spectrum Laboratory, Inc.

Referrals may be made to outside specialists, area Cone Health hospitals and/or other medical facilities when such care is needed. The student will be responsible for all charges incurred at those facilities.

For more information, please contact:

Lauren Childrey
Director of Student Health Services
Greensboro Hall
(336) 272-7102, ext. 5277
(336) 217-7299 (Fax)
[email protected]

In Case Of An Emergency

***If you have a life-threatening illness or injury, call 911 immediately!***

Campus staff consisting of Residence Hall Directors and Residence Hall Assistants are on call 24 hours a day. Someone is always available for help.

When the Student Health Center is closed (evenings, weekends or holidays), or if you are not on campus, you can get local medical attention at the following facilities:

Greensboro College’s health care provider at Urgent Medical Care Center
102 Pomona Drive
Greensboro, NC 27407
(336) 299-0000
Please remember to identify yourself as a Greensboro College student when calling.

Wesley Long Community Hospital
501 N. Elam Ave.
Greensboro, NC
Main number: (336) 832-1000
Emergency Room: (336) 832-1402

Moses H. Cone Memorial Hospital
1200 N. Elm St.
Greensboro, NC
Main number: (336) 832-7000
Emergency Room: (336) 832-8040

Health Privacy Notice


The staff of Greensboro College Student Health Center (GCSHC) are legally required to protect the privacy of your health information and to abide by the requirements stated in the document. This Notice of Privacy Practices describes our legal duty to protect the privacy of your health information and the policies and procedures this office has in place to do so.

Our office is required to prominently post the most current notice at all times. A copy of the current Notice of Privacy Practices for GCSHC will be given to each patient to read on their first visit. You will be asked to sign an acknowledgment that you read a copy. A copy of this notice will be provided to you upon request.

If you need additional information about anything contained in this notice, please contact the GCSHC director by calling 272-7102 ext. 277. We encourage you to ask questions about anything you do not understand.

GCSHC reserves the right to change its Notice of Privacy Practices without advance notice to you and apply the revised Notice of Privacy Practices to your health information. Any changes that are made will be highlighted on the most current Notice of Privacy Practices that is posted in our office so that they are easily recognized. If changes are made to this Notice of Privacy Practices, you will be provided with a revised copy on your first visit following the revision.

Protected health information may be used by Health Center staff and disclosed to other Health Center staff in your treatment and Health Center operations including, but not limited to record maintenance and monitoring your health status. Such information also may be:

  • Used to secure payment for services rendered or products provided by the Health Center.
  • Making appointments here in the health center as well as providing health information as needed for scheduling appointments for diagnostic tests, surgery, admission, consultations, home health, and referrals to outside agencies.
  • Exchange between the Health Center and the Training room staff in the treatment of athletes.
  • Verifying your benefits and eligibility with your insurance company, and obtaining authorization as required.
  • Providing health information to your insurance company as requested for their administrative requirements.
  • Calling in prescriptions to your pharmacy.
  • Used to confirm your visit to the Health Center on a given date upon inquiry by a faculty member; no other information will be given in response to such inquiries by faculty.

After you have been given the opportunity to agree or object, your health information may be used and disclosed without your authorization in the following circumstances. (If you are not present or the opportunity for you to agree or object cannot be provided, we may decide whether the disclosure is in your best interest on professional judgment.)

  • To a family member, or other person identified by you, or the Dean of Students, if that person’s involvement is deemed necessary in your care.
  • To a family member or other person responsible for your care regarding your location, general condition or death
  • To a public or private organization authorized by law to assist in disaster relief efforts as required by law.

Your health information may be used and disclosed without your authorization in circumstances as required by law (Example: reporting certain communicable diseases to the NC Dept. of Health and Human Services or responding to a lawfully issued court order).

  • To protect the confidentiality of your written medical information, these directives are followed:
  • You must complete the “Authorization to Release Medical Information” before copies will be released to you or a third party.
  • FAXing medical information other than immunizations will be done ONLY in situations of medical urgency.
  • The use of e-mail in sharing your medical information is limited to general information and clarification about your medial care.

Helpful Website Resources

Meningococcal Disease & Vaccine Information

The following information regarding meningococcal disease and the meningococcal vaccine is based on guidelines established by the American College Health Association and the Centers for Disease Control and Prevention (CDC).

Meningococcal disease continues to pose a small but definite risk to college students, with 100 to 125 cases occurring on campuses across the nation each year, resulting in 5 to 15 deaths. The disease is caused by the bacteria Neisseria meningiditis and is transmitted through the air by tiny droplets from the respiratory tract of an infected individual through sharing contaminated items such as cigarettes or drinking glasses, or by direct contact such as kissing.

If infected, a person may experience any of the following:

  • high fever
  • rash
  • nausea
  • vomiting
  • severe headache
  • neck stiffness
  • lethargy
  • light sensitivity

The disease tends to occur in late winter and early spring, overlapping the flu season. The infection progresses rapidly, making early detection essential.

Overall, college students do not seem to be at a higher risk of contracting meningitis, however, disease rates peak between the ages of 15 and 20 years. First-year college students, particularly those who live in residence halls, constitute a group at a slightly higher risk of contracting meningitis than other people of the same age.

In May 2005, the ACIP recommended that all college freshmen living in residence halls be vaccinated in meningococcal disease.

Contact your personal physician for further information about meningitis and the vaccine’s availability in your community. If you wish to be vaccinated and are unable to be given the immunization before you come to campus, the vaccine is available at a charge through the Student Health Center. There is a one day meningitis vaccine clinic planned for early fall. The date will be announced to all students at Campus Connection as well as Précis.

Should you have any questions regarding meningitis or the vaccine once you arrive on campus, please feel free to contact the Student Health Center.

You can also visit the following related sites:

Immunization Information & Required Health and Immunization Forms

We are pleased to announce that we are now using the Magnus Health Student Medical Record (SMR) to collect and manage student health information. Magnus Health SMR is a secure and easy-to-use website for submitting and maintaining your health information.

You will receive an email from Magnus Health once your enrollment deposit is paid, providing your username/password to access your Magnus Health SMR account(s). You can easily complete and submit all of the requested information.

Please remember:

  • All requested medical information should be submitted directly to Magnus Health.
  • You may receive email reminders from Magnus Health. Once you submit the information requested, the reminders will stop.
  • If you cannot locate your username/password, you may retrieve them via the Forgot Your Username/Password link at
  • You can contact Magnus Health customer support by phone (877-461-6831) and email ([email protected]com).

In the coming school years, you will simply return to the Magnus Health portal and update the account(s) with any new information. You can always update your medical history and emergency contact information. This is an exciting tool that will increase security while collecting and maintaining this information, as well as provide secure access to your information in the event of an emergency.

You may visit for more information.

Immunization Information


  • If you are enrolled in day classes (Mon-Fri) for 5 or more hours, you are subject to the NC immunization requirements.
  • The immunization record MUST be completed and signed by the physician or have a health department stamp.
  • All dates must include month, day and year of administration.
  • NC State law (general statute 130A – 155.1) requires that all students entering college must present a certificate of immunization on, or before, the first day of matriculation indicating that the person has received the immunizations required by law. Persons not in compliance with the immunization requirements within 30 days from the first day of class will be administratively withdrawn from school by the Vice President of Academic Affairs.
  • Your immunization records may be obtained from your high school, physician, health department, military record, or previously attended college.
  • Medical exemptions require a physician’s statement including the basis of the exemption, specific vaccines the individual should not receive, and the length of time of the exemption

Required Vaccines:


Vaccine Number of Doses Required Before Entry*
Diphtheria, tetanus & pertussis 3
Polio 3
Measles 2
Mumps 2
Rubella 1
Hepatitis B (Hep B) 3


*Please read below for additional information

Diphtheria, tetanus and pertussis

Three doses are required for individuals entering college or university. Individuals entering college or university for the first time on or after July 1, 2008 must have had three doses of tetanus/diphtheria toxoid; one of which must be tetanus/diphtheria/pertussis.


Three doses are required for individuals entering college or university. An individual attending school who has attained his or her 18th birthday is not required to receive polio vaccine.


Two doses at least 28 days apart are required for individuals entering college or university. The requirement for a second dose does not apply to individuals who entered school, college or university for the first time before July 1, 1994. A person who has been diagnosed prior to January 1, 1994 by a physician (or designee such as a nurse practitioner or physician’s assistant) as having measles (rubeola) or an individual who has been documented by serological testing to have a protective antibody titer against measles is not required to receive measles vaccine. Individuals born before 1957 are not required to receive measles vaccine except in measles outbreak situations.


Two doses are required for individuals entering college or university. A physician’s diagnosis is not acceptable for mumps disease(s). Individuals must be immunized or have laboratory confirmation of disease or have been documented by serological testing to have a protective antibody against mumps. Individuals born before 1957 are not required to receive the mumps vaccine. Individuals that entered college or university before July 1, 1994 are not required to receive the vaccine. Individuals that entered school, college, or university before July 1, 2008 are not required to receive the second dose of mumps vaccine.


One dose is required for individuals entering college or university. A physician’s diagnosis is not acceptable for rubella disease(s). Individuals must be immunized or have laboratory confirmation of rubella disease or have been documented by serological testing to have a protective antibody titer against rubella. Any individual who has attained his or her fiftieth birthday is not required to receive rubella vaccine except in outbreak situations. Any individual who entered college or university after his or her thirtieth birthday and before February 1, 1989 is not required to receive rubella vaccine except in outbreak situations.

Hepatitis B

Three doses are required for individuals entering college or university. Hepatitis B vaccine is not required if an individual was born before July 1, 1994.

Required vs. Recommended

North Carolina law requires children receive certain vaccines. But in order to be fully protected from vaccine-preventable diseases, children should receive all age-appropriate immunizations.

For more information about vaccine preventable diseases and immunizations recommended, please refer to the Centers for Disease Control and Prevention (CDC), the Advisory Committee on Immunization Practices (ACIP), and the Immunization Action Coalition.

What About Insurance?

Health insurance is mandatory for all full time students at Greensboro College.

Students are required provide health insurance information at the time of check in.

If you are not currently covered by a health insurance policy please visit or if you are outside of the enrollment period you can check into gap coverage through different insurance companies for example rates can be seen by going to then selecting shopping for individual coverage and rates will be generated for your specific situation.