School Name

Department Name

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Medical Excuses

The Student Health Services has no authority to excuse student from class or work-study due to illness. The student is responsible for providing professors or work-study supervisors with an explanation for absence.

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About Us

Mission:
Using a collaborative approach toward the total student development, the mission of Student Health Services is to ensure students who use this facility maintain an optimal level of health.
Staff:
The center is staffed by a Professional Registered Nurse, and a Secretary. Also on staff is a contracted part-time Medical Doctor/Advance Practice Registered Nurse and a Reproductive Registered Nurse Practitioner.

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Immunization Requirements

It is a mandate of the Arkansas Department of Health that all students attending colleges and universities in the state show proof of 2 MMR ( measles, mumps rubella) immunizations, immunity to measles, mumps and rubella, a medical or non-medical exemption, or birth before January 1957.

Acceptable proof of immunization is an official immunization record from another educational institution in Arkansas, a licensed medical doctor, or an authorized public health representative, or military service. Documentation must state the vaccine type and dates of vaccine administration must be provided and entered on the record. Terms such as “up-to-date,” ”complete,” “adequate,” etc. are not to be accepted as proof of immunization.

  • In lieu of receiving vaccine; immunity can be shown by providing documented evidence (Such as a letter from the Arkansas Department of Health approving serology as proof of immunity), of appropriate serological testing.

  • Proof that the student has applied for or received a medical or non-medical exemption for those vaccines he/she has not received will be accepted in lieu of receiving vaccine.

  • Proof that the student was born prior to January 1, 1957, will be accepted in lieu of receiving vaccine.

  • Proof that the student has applied for or received a non-medical (religious) exemption will be accepted in lieu of receiving the vaccine. This exemption is granted “ on the grounds that such immunization conflicts with the religious tenets and practices of a recognized church or religious denomination of which said individual is an adherent or member” in accordance with Arkansas Statue. Exemption shall be granted only by the Arkansas Department of Health. The exemption form must have a signature and seal of a Notary Public and a new form must be completed every school year.

Exceptions

  1. If a student has previously received two doses of measles, one dose of mumps and one dose of rubella before January 1, 2010, the doses will be accepted as compliant to immunization requirements and 2 MMR’s are not required.

  2. Students who receive their education by correspondence or on-line and do not attend any classes on campus are not require to receive MMR (measles, mumps and rubella) vaccine.

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Form

 
 

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Available Hours:
No appointment needed. Student ID required
Monday-Friday; 8:00 AM- 5:00 PM
After Hours Emergencies: UAPB Public Safety (870) 575-8102
Jefferson Regional Medical Center (870) 541-7100
Contact Information:
Belinda Holmes, Registered Nurse
Joyce Scott, Administrative Specialist II
Telephone; (870) 575-7106
Fax: (870) 575-4677
Office of Student Health Services
1200 N. University/Browne Infirmary, Mail Slot 4965
Pine Bluff, Arkansas 71601
Confidentiality
Student Health Services maintains strict HIPAA guidelines. All information obtained from students is confidential. Patient information will not be given to parents, teachers, etc. without prior consent and authorization from the student. For any questions or concerns, please contact Student Health Services.