The Catholic University for Independent Thinkers
1845 E Northgate Dr
Irving, TX 75062
Phone: 972-721-5322
Fax: 972-721-5194
Students who live in a residence hall setting are at an increase risk for contagious diseases, some of which are preventable by vaccines as listed below.
Hepatitis B
Meningococcal (within last 5 years)
Tetanus (within last 10 years)
MMR (Measles, Mumps, Rubella)
Tetanus-Diptheria-Pertussus
Polio
Variecella
Gardasil
Hepatitis A
Tuberculosis screening (if at risk)
Click here to download and print the Medical History Form