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Compulsory Vaccination requirements of Students of Health Care Professions

Overseas participants in the IFMSA EXCHANGE program in Israel:

Must complete their full course of the following required vaccines

before beginning their clinical rotations:
IPV-polio
HBV -Hepatitis B virus
dTap Tetanus+Diphtheria+Pertusis
MMR -mumps, measles, Rubella
VZV-Varicella Zoster IgG AB

(4 to 6 weeks should pass between the vaccines for MMR & Varicella
Zoster and the the Mantaux Test.)
Mantaux Test PPD, or QuantiFERON Gold test for TB within last
12 months before arrival.

* 2nd step Mantaux Test: has to be done ONLY IF the participant

received a negative reading on the first step test (the result was lower
than 10 mm). The second test must be done between 14 to 30 days
after the first test.

Must carry with them during each rotation in Israel the original
following Vaccination record form that must be filled in, signed
& stamped by a physician.

We cannot accept other kinds of vaccines /tests that are done in various
countries.
Participants who fails to provide documentation of the full required
vaccines to this program authorities during their rotation risk having their
rotation and housing automatically canceled.

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Vaccination record form

For Overseas participants in the IFMSA EXCHANGE program in Israel clinical rotations
Family Name___________________ First Name____________________
Country _________________________Passport No._________________
DATE OF VACCINE

VACCINE

REMARKS

Day/month/year

Hepatitis B-1
Hepatitis B-2
Hepatitis B-3
Hepatitis B-Booster
MMR 1
MMR 2
IPV

Should be done within last 9 years

dTap

Should be done within last 9 years

EVALUATION OF THE
VACCINE STATUS

Day/month/year

VALUE

AB= Antibodies
Mumps- IgG AB
Measles- IgG AB
Rubella- IgG AB
HBs AB
VZV-Varicella Zoster IgG AB
Mantaux Test-PPD 1st step

* Mantaux Test-PPD 2

st

step

Has to be done ONLY IF a

negative reading is received on
st
the 1 step test (the result was
lower than 10 mm).
Quatiferon Gold test for TB

Physicians Name (in BLOCK letters)__________________________________________________

Date____________________ Physicians Seal