How to Submit your Immunization Requirements

Newly Admitted Students - You will gain access to the Titan Health Portal 48 hours after accepting enrollment and paying any required fees.

Helpful links:

Immunization Requirements: 

All incoming students starting Fall 2022 are required to comply with Cal State University Systemwide Executive Order 803, including the following immunizations and Tuberculosis assessment:

  • Measles, Mumps, and Rubella (MMR)
  • Hepatitis B (Hep B)
  • Varicella (Chickenpox)
  • Tetanus-Diphtheria-Pertussis (Tdap)
  • Meningococcal Disease (Serogroups A, C, Y, W-135)
  • Tuberculosis Screening/Risk Assessment (TB)
  • COVID-19 Vaccine Series & Booster

Public Health Records:

Student Wellness accesses immunization data from the California Immunization Registry (CAIR).

  • Students who received the above immunizations in the state of California can verify their vaccination records through the Titan Health Portal and will likely NOT need to upload vaccination records.  
  • Students who received any of the above immunizations outside of the state of California will be required to manually upload their vaccination records into the Titan Health Portal.  

(Please do not submit immunizations that already show Compliant in the Titan Health Portal.)


The CSU’s Immunization requirements provide provisions for exemptions.  Use this link for directions to download and upload your Exemption Form.

1. Navigate to the Titan Health Portal

Open your browser to

  • We recommend the Google Chrome browser

2. Enter your campus username and password

CSUF authentication Login page.

3. Duo authentication is required

CSUF DUO (two-factored) Authentication page.

4. Enter your Date of Birth

CSUF Health Services Date of Birth Authentication page.

5. Click Medical Clearances

Titan Health Homepage

6. Check Clearances

Only update the Clearances that show "Not Compliant."  After updating a Clearance,  verification is required, and the status will stay "Not Compliant" until someone at Student Wellness verifies your immunization.  During very high volumes, it could take 2 weeks to have your Medical Clearances verified.    

IMPORTANT: If you need to show proof of any immunization, please do not forget steps 9 & 10 below.

Medical Clearances Items Required for Clearance

7. Fill out the TB Risk Assessment Questionaire

Note: After answering the TB Risk Assessment Questionaire, you may be required to update the Tuberculosis Testing Clearance.

TB screening questionnaire page

8. Update all NOT Compliant Immunization Clearances

Add the Date(s) and Vaccine name for every NOT Compliant immunization.

Page where you input data about vaccines

9. Upload Immunization Records

If you have some Not Compliant immunization clearances, then you will need to upload a copy of your Immunization Records.  If everything under "Items required for clearance" is compliant, then skip this step.

From your Medical Clearances screen, scroll down to the section named Additional items NOT required for clearance. Find Immunization Record, then click Update to upload your documents.

Medical Clearances Immunization Record

10. Immunization Document Upload

Upload a readable document(s) of all your immunizations that need to be verified by Student Wellness.

Immunization Record Upload page

11. Compliancy

You will need your "Overall Clearance Status" to show "Satisfied."  To be fully compliant, you will need a green Compliant checkmark for each Clearance.

IMPORTANT: Your Clearance will show NOT Compliant until verified.  During high volumes, it may take 2 weeks before immunizations are verified and marked compliant.

Medical Clearance Compliant Status

12. Click Log Out to Exit the Titan Health Portal

Once you have filled out the required information for each Required Clearance, you can log out.  Please do not forget to come back and check your Titan Health Portal Messages on the left side toolbar.  This is how  Student Wellness will contact you.

Titan Health Portal Log Out link