Lawrence Technological University is dedicated to keeping all students safe and healthy. 

Beginning Fall 2019, the University will require all new students living in University Housing to be vaccinated and provide vaccination records to the Office of University Housing. Having record of immunizations will allow University Housing and the University to provide better care for our students in the event of an illness, accident or campus or community outbreak.

Submitting Vaccination Records

To submit vaccination records, please follow these directions:

Provide records from your health care provider(s). You may contact your K-12 institution for records if they were required.


Ask your health care provider(s) to complete our Vaccination History form.

Vaccination History Form

Records should be submitted in English.

Submit records using one of the following methods:

  • Email records to
  • Fax records to University Housing at 248.204.4115
  • Mail records to:

    21000 West Ten Mile Road
    University Housing
    Southfield, MI 48075

Required Recommended
Hepatitis B – Three doses OR lab report confirming immunity

Meningitis B – At least 2 doses of the same vaccine

Measles, Mumps, Rubella (MMR) – Two doses OR lab report confirming immunity

Hepatitis A – Two doses

Meningococcal Conjugate – One dose received since age 16

Pneumococcal – Four doses

Tetanus-Diphtheria-Pertussis – One dose received within the past ten years

Polio (especially for residents under 18 years of age) – Four doses of IPV or OPV

Varicella – Two doses OR lab report confirming immunity

Influenza – One dose yearly

Tuberculosis Test** – A Tuberculin skin test OR Interferon Gamma Release Assay (IGRA) blood test must be completed no more than three months prior to the school start date

This requirement follows the guidelines set forth by the Centers for Disease Control and Prevention (CDC)
** TB Test is required for all International students, and for students who have traveled outside of the US within 3 months of arriving at LTU.

Exemption Requests

Students may be exempt from the immunization requirements if there is a valid medical contraindication or religious belief. Students who are seeking a medical exemption must provide a letter from their licensed physician explaining why based on a valid medical reason. Students seeking exemption due to religious beliefs must submit a letter explaining how the administration of immunizing agents conflicts with their religious beliefs. 

The University does not require a physical examination.