Medical and Vaccination History

Louisiana state law (Act 1047) requires that all persons who are entering Louisiana colleges and universities for the first time and whose date of birth is after 1956 must submit proof of immunization against preventable and/or communicable diseases, including measles, mumps, rubella, and tetanus-diphtheria (MMR, Td).

Louisiana state law (Act 251) requires first-time freshmen to submit proof of immunization against meningitis beginning Fall 2006.

Therefore, Louisiana Tech University requires all new students born after December 31, 1956, to provide proof of immunization against MMR, Td and meningitis. Failure to complete and return these forms will result in the inability to complete the registration process.

You may download and print the Medical History form and return it to:

Green Clinic TechCare
P.O. Box 2134
Ruston, LA 71273-2134