Drexel immunizations and TB: the Clinical Immunization Record, titers and yearly forms
Drexel's Clinical Immunization Record asks for MMR, varicella and Hepatitis B with titers that must be positive, Tdap within ten years, TB screening and a physical from the past 12 months, followed by yearly TB and flu forms. Hepatitis B sets the pace, with Drexel allowing up to seven months for the series, so check your records the week you're admitted.
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Quick facts
- Main form
- Clinical Immunization Record, 7 pages, updated November 2025
- Titers
- Hep B, MMR and varicella, and every one must be positive
- Every year
- Annual TB Renewal Form and the Fall Influenza Form
- Where it goes
- CastleBranch, plus the university immunization site

What the Clinical Immunization Record asks for
The current record is a seven-page packet dated November 17, 2025. Drexel bases its clinical immunization rules on CDC guidance for healthcare workers and on whatever its executed clinical affiliation agreements require. Here is what the packet asks you to document:
| Requirement | What the record asks for |
|---|---|
| MMR | Two doses, plus a titer for each of measles, mumps and rubella |
| Varicella | Two doses or a history of the disease, plus an ELISA titer |
| Hepatitis B | Three doses, plus a positive surface-antibody titer |
| Tdap | A dose within the last 10 years |
| Tuberculosis | Screening done in the U.S. within 12 months of starting school; the packet names IGRA blood tests (T-Spot or QuantiFERON); chest X-ray if positive |
| Meningococcal | Only if you are 21 or younger or live in university housing |
| Physical exam | Completed within the past 12 months |
Everything on the record is uploaded to CastleBranch, where the Clinical Compliance team checks it against your program's due dates.
Titers must be positive
Drexel's compliance FAQ is short on this point: titers are required for Hepatitis B, MMR and varicella, and they must be positive. Documented doses on their own won't satisfy the packet for those three, and a titer that comes back negative isn't one Drexel can accept.
Order titers early, not the month before your due date. If a result comes back negative or equivocal, ask the compliance team what Drexel accepts next before you book a booster or a repeat series, because that answer shapes your timeline more than anything else on the list.
Pull old records before you start anything new. Past employers, earlier programs and your own clinicians may already hold dose dates and titer results that fill most of the packet, and a quick records request costs far less time than repeating a series.
Hepatitis B timing and your first clinical term
Drexel's compliance page cautions that finishing the Hepatitis B doses can stretch to seven months, and the packet also asks for a positive surface-antibody titer once the doses are in. Any follow-up after a negative titer adds time on top of that.
Drexel's sample plans put NUPR 520 in the fall of year two and the first clinical course the following summer, so starting the series by the time you take the seminar leaves room for a full course of doses and the titer. If you're admitted closer to your first clinical quarter, or your plan has shifted around the move to semesters, start the series the week you're admitted and tell the compliance team where you are in it.
The broader schedule, from admission through NUPR 520 to your first clinical quarter, is on the clinical timeline page.
TB forms: first test, yearly renewal, positive history
Tuberculosis screening has its own set of Drexel forms, and which one you file depends on your history.
- First screeningRecorded on the Clinical Immunization Record, done in the U.S. within 12 months of the start of school.
- Every year afterFile the Annual TB Renewal Form (updated May 8, 2025), using a one-step PPD skin test or an IGRA blood test.
- If you've had a positive TB testDrexel needs a chest X-ray once, then a Signs and Symptoms Form every year.
- Upload each formEach TB form is uploaded to CastleBranch alongside your other health documents.
Sites can ask for more than Drexel does. Lehigh Valley Health Network asks for two TB skin tests and its own health certificate, and Bayhealth wants a TB test within one year. Check your site's list once it confirms you.
The October 1 flu form and vaccine exemptions
The Fall Influenza Form has to be completed and submitted by October 1 each year and uploaded to CastleBranch. It's the one compliance date Drexel publishes for everyone, and it lands early in the fall quarter, which began on September 22 in 2026. Book your shot as soon as the season's vaccine is available where you live. Some sites add their own flu rule; Bayhealth, for instance, lists a flu vaccine in season among its student requirements.
If you're thinking about a vaccine exemption, raise it before your site is chosen. In Drexel's words, an exemption may affect how you progress through the program, since a site can make any vaccine a condition of placement. A site that insists on a vaccine you've declined is unlikely to work as your placement, so the earlier the compliance team knows, the more options remain.
Two uploads: CastleBranch and the university site
Drexel's Compliance Forms page tells students to upload the Immunization Record and the Physical Examination Form to the University Health Insurance and Immunizations website and to CastleBranch, because the university's immunization requirement is separate from clinical compliance. The university site runs on Medicat, which you reach through the Health and Wellness Resources channel in DrexelOne.
Online students hit a wrinkle here. The university's immunization page says fully coded online students are not required to comply with the University Immunizations Policy, and Drexel's pages don't reconcile that with the double-upload instruction. Ask the compliance team whether your Medicat upload is still needed. The CastleBranch upload is required either way. Keep the answer with your records, since the same question may come up again when you renew each year.
Why Drexel students choose us
Immunizations are yours to finish; a site that fits your Drexel course is ours to find. The moment a site accepts you, we pass on its onboarding requirements, from extra TB tests to seasonal vaccines, so you can compare them with what CastleBranch already shows and close any gap well before the term. You get the site's list in plain terms, matched against Drexel's.
Our placement advisors specialize in Drexel's process, from the patient population your track needs to the preceptor credentials the college checks, and we're on call whenever a preceptor falls through. Drexel approves; we see that the preceptor and site details reaching the college are complete. Tell us your track on the contact page.
Questions Drexel students ask
What if my Hepatitis B titer is negative for Drexel?
Drexel requires a positive surface-antibody titer but doesn't publish a next step on its public pages. Before booking anything, email the compliance team at dhcompliance@drexel.edu with your dose history and result and ask what Drexel will accept. Do it quickly, since this is the item most likely to push your compliance past the seven-month mark.
Does Drexel require the COVID vaccine for clinicals?
COVID-19 doesn't appear on Drexel's current compliance pages or on the November 2025 Clinical Immunization Record. Drexel does follow the requirements written into its executed clinical affiliation agreements, though, so an individual hospital or practice can still require it. Ask your site for its current onboarding list before you start.
Do I need a TB skin test or a blood test for Drexel?
For the yearly renewal, Drexel's Annual TB Renewal Form accepts either a one-step PPD skin test or an IGRA blood test. The initial entry on the Clinical Immunization Record names IGRA tests such as T-Spot and QuantiFERON, done in the U.S. If a site asks for something different, such as two skin tests, follow the site's rule for that rotation.
Can I use my employer's immunization records for Drexel?
They're often the fastest source of dates and titer results. Drexel works from its own Clinical Immunization Record, so transfer what your employer holds onto that packet and upload it to CastleBranch. Check that each titer is positive and each date sits inside Drexel's windows, such as Tdap in the last 10 years and a physical within 12 months.
Related pages
Last checked 2026-09-24
We check these pages against Drexel's own sources. Your track director, the CNHP Clinical Compliance team and Drexel's current catalog have the final word.
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