Medical History and Emergency Contact Information

All inbound international and exchange students and scholars are required to submit the Medical Information-Emergency Contact Information Form following issuance of the I-20 or DS-2019.

Traveling to a different culture and environment can pose emotional and physical challenges. It is important that you discuss with a medical provider any past, current or potential medical conditions to prepare you for your program at UMF and allow us to assist you with any necessary accommodations requests.

The information requested in this form is necessary to identify any medical precautions that are recommended and to provide critical medical information in the event that a health problem or other emergency arises while you are at UMF. The information provided will remain confidential, reviewed only by the Office of Global Education and medical personnel in case of an emergency while on your program.

Required Immunizations

The University of Maine at Farmington requires the submission of official immunization records prior to attendance using the Immunization Form. This applies to all international students, as well as scholars, who will live in a campus residence hall.

Maine State Law requires all degree-seeking students and full-time, non-degree students born after December 31, 1956, to provide the following proof of immunization:

  • One (1) dose of Tetanus/Diphtheria (Td or Tdap) received within the last ten (10) years.
  • Two (2) doses of Measles (Rubeola), Mumps, and Rubella (German Measles) received after (not on) the first birthday.  If measles immunization was done prior to 1968, you must provide proof it was done with a live virus.

*Lab results of titer tests showing immunity to Measles, Mumps and Rubella are accepted as long as they are signed or stamped and clearly indicate immunity to all three diseases

Official Immunization Records

Immunization Form must indicate the date of immunization and is REQUIRED to be signed and stamped by a Healthcare Provider. International students and scholars should email the completed Immunization Form to Lynne Eustis at

Required Tuberculosis Screening

Submit the TB Screening form. If you answer NO to all questions, no further action will be needed. If you answer YES to any question, you will need to have a TB skin screening test at the UMF Student Health Center upon arrival, or provide documentation of a negative TB test result.

Still have questions?

International students and scholars should direct immunization questions to Lynne Eustis, Assistant Director of Global Education at