Immunization Requirements for Health Care Workers

In accordance with Texas Health and Safety Code 224 and IHOP Policy 3.7.7, UTMB must ensure all incoming and current health care workers are immunized against vaccine-preventable diseases.

A health care worker is defined as anyone who provides direct patient care, enters patient rooms and/or comes within six feet of patients in the course of his or her duties.


New Hires

All new hires must complete a pre-employment health assessment and provide proof of vaccinations or immunity for the following diseases prior to receiving work clearance.

Click here for a printable version of this chart.
Vaccinations Requirements

Measles, Mumps and Rubella (MMR)

  • Individuals must provide official documentation in accordance with CDC guidelines of receiving two MMR vaccinations given at least 28 days apart or titers confirming immunity.
  • Those born before Jan. 1, 1957, will be presumed immune.

Seasonal Influenza

  • Individuals must provide official documentation in accordance with CDC guidelines that the Influenza vaccine was administered during the current flu season as determined by UTMB's Department of Healthcare Epidemiology.
  • If no documentation is provided, the individual will be required to receive one dose of the Influenza vaccination.
  • Those who choose not to be vaccinated will be required to complete a declination statement and will be reassigned to other duties or required to wear a mask when providing patient care for the duration of the flu season.
  • The Influenza vaccination must be received annually.

Tetanus, Diphtheria and Pertussis (Tdap)

  • Individuals must provide official documentation in accordance with CDC guidelines of receiving one dose of Tdap.

Tuberculosis (TB) Screening

  • Individuals must provide official documentation in accordance with CDC guidelines of a two-step tuberculin skin test completed within the last six months, an interferon-gamma release assay completed within the last six months, or a previous positive TB test.
  • Those who have had a positive TB test must complete the TB Evaluation Form and provide a previous chest x-ray; an annual chest x-ray will not be required unless the individual is symptomatic.
  • If no documentation is provided, the individual will be required to complete a two-step tuberculin skin test.

Varicella (Chickenpox)

  • Individuals must provide official documentation in accordance with CDC guidelines of prior Chickenpox diagnosis.
  • Those who have not had Chickenpox are required to provide official documentation in accordance with CDC guidelines of receiving two doses of the Varicella vaccination given at least 28 days apart or a titer confirming immunity.

Documentation should be submitted to Employee Health at:

Scan/Email: employeehealth.clinic@utmb.edu (non-CMC employees) or cmcemphl@utmb.edu (CMC employees)
Fax: (409) 747-9182
In Person/U.S. Mail: 301 University Blvd., Primary Care Pavilion, Suite 125, Galveston, TX 77555-1161


Current Employees

Seasonal Influenza

As a condition of continued employment, all health care workers must get an annual flu shot or formally decline the vaccine by signing this statement. Those who choose not to be vaccinated will be reassigned to other duties or required to wear a mask when providing patient care for the duration of the flu season as determined by UTMB's Department of Healthcare Epidemiology.

Vaccinations are available through UTMB. Click here for more information.

Tuberculosis (TB) Screening

UTMB's health care workers are also required to provide official documentation of a TB skin test or an interferon-gamma release assay each year. Those who have had a positive TB test must complete a
TB Evaluation Form. A chest x-ray will only be needed if an employee is symptomatic.

The institutional deadline for all health care workers to complete their annual TB testing is May 31.
TB testing is available through UTMB. Click here for more information.


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