Pre-matriculation Immunization Requirements for Entering Students
Students entering the Doctor of Osteopathic Medicine (COM), Doctor of Pharmacy(COP), the Joint Master of Science in Physician Assistant Studies/Master of Public Health (PA) or the Master of Science in Nursing (SON) programs are required to create an account with CastleBranch and upload documentation of the specific immunization and health requirements of their respective programs within 60 days of their acceptance letter with the exception of TB clearance testing (program) and flu vaccinations (due in November).
All programs have similar basic health requirements that include a physical exam, a recent Tdap vaccination, documents for TB (tuberculosis) clearance and proof of immunity to communicable diseases with positive laboratory titers for measles, mumps, rubella, varicella and hepatitis B. Most programs require quantitative lab titers. Click on your program requirements below to learn more then create an account on CastleBranch and follow the directions.
CastleBranch(CB) is a secure platform that allows students to store their health documents in a Medical Document Manager online. Once you create an account you will be able to upload your immunizations, serum titers, health documents, and chest x-ray results into your Medical Document Manager. CastleBranch(CB) will review your documents and inform you of any discrepancies with your program's requirements. Students must obtain pre-matriculation health requirements and maintain compliance with their program's immunization and health requirements through out their education at Touro University California. In the future, students will use their CB account to order a background check required by your program and paid by Touro University, California. When this will occur depends on your specific program. Instructions on how to create a profile is listed below.
Download forms located on the Student Health Forms webpage or located on your CB account. Complete forms A and F and upload to your CB account. Make an appointment with your primary care provider (PCP) for a physical exam and to obtain serum laboratory titers. Ask your physician's office if you can obtain your lab titers before your physical exam. This way, if your labs are negative or equivocal your PCP can restart your vaccination series on your appointment date. If you will be attending the COM, COP or PA program, please inform your PCP that you will need quantitative lab titers. The lab CPT(Current Procedure Terminology) codes for these test are listed below. Some labs, such as Quest, like to use their own in house codes that correlate with the CPT codes. If your provider uses Quest labs I have listed their in house codes for convenience.
CPT Codes Quest Lab Codes
Quantitative Hepatitis B Surface Antibody titer 86317 8475X
Quantitative Measles(Rubeola) Antibody titer 86765 964X
Quantitative Mumps Antibody titer 86735 8624X
Quantitative Rubella Antibody titer 86762 802X
Quantitative Varicella Antibody titer 86787 4439X
About Laboratory Titers
Tell your doctor's office you will be attending a clinical health program that requires quantitative laboratory reports of titers to specific communicable diseases. Quantitative laboratory results are reported in numerical values. Results indicating "positive", "immune" or "reactive" are qualitative results and will not be accepted in the COM, COP and PA programs. The reports must be on lab letterhead that can only be obtained directly from your PCP. Students who are unable to obtain quantitative titers through their PCP may need to go elsewhere and pay for these labs test out of pocket.
Students with negative, equivocal or low titers for a communicable disease are required to restart the respective vaccination series and obtain a subsequent quantitative titer 30 days to 6 weeks after their last vaccination. Students who are restarting a vaccinations series must follow the recommended vaccination schedule of the manufacturer and upload documentation they have received the vaccinations to CB.
It can take 3-7 months to restart a vaccination series and obtain repeat quantitative titers therefore we encourage you to get started as soon as possible. Students without positive quantitative titers to infectious diseases may be precluded from attending early clinical experiences starting within the first few weeks of school.
Personal Information Requirements to Create Your Profile
Specific personal information is required to create your CastleBranch account including your full name, date of birth, current address, phone number and email address.
Payment can be made with Visa or MasterCard. Money orders are also accepted but will result in a $10 fee and a longer turn-around time. Any required background checks and mandatory drug testing will be invoiced to and paid by Touro University.
Create Your Profile:
- Click on CastleBranch (http://tu.castlebranch.com)
- Select your program from the drop down menu.
- Select the Medical Document Manager: Immunizations and Health Requirements from the drop down list.
- Review the contents of your package, then check the box at the end of the text indicating that you have read, understand and agree to the terms and conditions.
- Click on the Continue to Order orange button to set up your CastleBranch account.
For more detailed information or help with setting up your account, please call the CastleBranch Service Desk at 888-723-4263 ext. 7196 which is available 5:00 am to 5:00 pm or email CastleBranch at firstname.lastname@example.org .
You may also contact Student Health at 707-638-5220 or by email at email@example.com.
Immunizations and titers are not required for the Master of Public Health or the Master of Science in Medical Health Sciences programs however if you are attending the COM, COP or PA program at the same time you will need to follow the requirements of these programs.
Continuing Students Immunization and Health Requirements After Matriculation
College of Osteopathic Medicine, 3rd and 4th year Students
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