(Immunization form is not required of students enrolled in a fully online degree program.)
The University of Sioux Falls requires all students who meet on campus for class to provide his/her immunization record showing proof for two properly administered immunizations or immune titers for Mumps, Measles, and Rubella (MMR). This is due by the first day of the first term for which you are registered.
Please Download: the Immunization Form (usiouxfalls.edu) and email the completed form to firstname.lastname@example.org.
The university must receive this information to avoid having a registration hold placed on your account which will block your ability to register for future classes.
Please note the form also provides the ability to request an exemption from the policy, as well. Email the completed form with either your doctor’s signature, copy of your immunization record, or exemption documentation to email@example.com.
Once your record(s) are received by USF Student Life, the office will follow up with an email receipt for notification that your documentation has been received and is completed for your enrollment record.
For South Dakota students – simply respond to firstname.lastname@example.org or call Student Life at 605-331-6620 to provide your approval for Student Life to verify your immunization records within the state vaccination database.
If you have any questions concerning your record, please email Student Life at email@example.com or call Student Life at 605-331-6620.
The South Dakota Law is found below.
Based upon South Dakota State Law and upon the recommendation of the American College Health Association, the University of Sioux Falls requires ALL ADMITTED STUDENTS who meet on-campus to provide proof of immunization for the purpose of controlling communicable disease. All admitted students must have medically signed proof of TWO properly administered immunizations OR immune titers for Mumps, Measles, and Rubella (MMR). These are required for all new, readmitted and transferred students. Students who fail to provide the required proof of immunization may be refused registration and not permitted to attend classes until in compliance. Successful fulfillment of this requirement includes completion of the above “Student Information” portion of this form and ONE of the following: (1) Option 1 – Completing the items below, including a health professional’s signature; or (2) Option 2 – Initials granting USF permission to review the South Dakota vaccination database and verify on your behalf; or (3) Option 3 – attaching a copy of a physician-signed immunization certificate from your personal records or forwarded from another school; or (4) Option 4 – An exemption, checking the reason, including a written statement and student signature.
Please complete the above form and submit it to this address:
- University of Sioux Falls
- USF Student Life Office
- 1101 W. 22nd Street
- Sioux Falls, SD 57105
- FAX: 605-331-6615
- Email: Student.Life@usiouxfalls.edu
For questions regarding this form: