An official website of the United States government
Here's how you know
Official websites use .mil
A
.mil
website belongs to an official U.S. Department of Defense organization in the United States.
Secure .mil websites use HTTPS
A
lock (
lock
)
or
https://
means you’ve safely connected to the .mil website. Share sensitive information only on official, secure websites.
Skip to main content (Press Enter).
Toggle navigation
Tripler Army Medical Center
Tripler Army Medical Center
Search
Search This Site:
Search
Search This Site:
Search
Getting Care
Appointments & Referrals
Cardiology Clinic Referral
Concussion Clinic Referral
Diabetes Care Clinic Referral
Endocrinology and Metabolism Clinic Referral
Infectious Disease Clinic Referral
Neurosurgery Clinic Referral
Oncology Clinic Referral
Radiation Oncology Clinic Referral
Urology Pediatric Referral
Beneficiary Counselor and Assistance
Driving Directions
Medical Records
MHS GENESIS - Electronic Health Record and Patient Portal
Military Health System Nurse Advice Line
Patient Rights and Responsibilities
Patient Administration Division
Admissions & Disposition (A&D)
Civilian Emergencies/Trauma
Compliance Program
Third Party Collections
DoD/VA Sharing Agreement
Office of the Chief
Outpatient Records Room, Health Information Management
Uniform Business Office
Integrated Disability Evaluation System (IDES)
Medicare/Medicaid
Patient Rights and Responsibilities
HIPAA at Tripler
Medical Statement
Benefit Extension
Eligibility and ID Cards
Other Health Insurance
Joint Patient Liaison Office
Office of Soldiers' Counsel
Requesting Medical Records
Visitor Guidelines
Health Services
Contraceptive Services
Urgent & Emergency Care
Emergency Department
Rapid Response Team
Primary Care
Family Medicine
Family Medicine Service Clinic
Residency Program
Readiness Clinic
Patient Information
Clerkship
Internal Medicine Service
Preventive Care
Nutrition Services
Nutrition Clinic - Appointments
Group Nutrition Education
Nutrition Briefings, In-Services
Army Body Composition Program
Allergy/Immunology Service
Fight the Flu
Department of Public Health
Occupational Health Clinic
Environmental Health
Industrial Hygiene
Radiation Safety
Army Public Health Nursing
Army Hearing Program
COVID-19 Vaccine availability
Hospital Care & Surgery
Surgical Admission Clinic
Interdisciplinary Pain Management
Neurological Surgery
Urology Surgery
Surgical Sub Specialties
Post Anesthesia Care Unit (PACU)
Operating Room
General Surgery Clinic
Pediatric, Adolescent, and Young Adult's Health
Pediatric, Adolescent & Young Adult Medical Home
Adolescent and Young Adult Health Clinic
Pediatric Specialties Clinic
Immunizations
Inpatient Pediatrics - 7B1
Pediatric Intensive Care Unit (PICU) 6H
HealthySteps Program and Specialist
Specialty Care
Dermatology
Post Procedure Instructions
Patient Home Care Instructions
Gastroenterology Services
Endoscopy
Explanations of Digestive Disorders
Colon (Colorectal) Cancer
Treating GI Disorders
Are you age 50 or above
Gastroenterology Patient Education
Hematology/Oncology
Infectious Disease Clinic
Neurology
Neuropsychology
Orthopedics & Podiatry Clinic
Orthopaedic Surgery Residency Program
Program Director
Program Quality
Academic Curriculum
Rotation Sites
Presentations & Publications
Simulation Training
Resident Courses
Back Pain
Carpal and Cubital Tunnel Syndrome
Cervical Pain/Stiffness
de Quervain's Syndrome
Ganglions
Knee Pain (Anterior)
Knee Pain (Traumatic)
Mallet Finger
Shoulder Dislocation
Shoulder Pain (Adult)
Tibial Stress Fractures/Shin Splints
Cellulitis or Lower Extremity Infection
Non Healing Wound
Non Infected Lower Extremity Wound
Infected Lower Extremity Wound
Extremity Ulcerations
Charcot Foot
Bunions & Tailor's Bunions
Corns, Callouses & Hammertoes
Flat Feet (Symptomatic)
Ingrown Nail/Paronychia
Metatarsalgia
Morton's Neuroma
Onychomycosis
Plantar Fasciitis
Warts
High Risk Diabetic Foot Evaluation
Brace Shop (Orthotic & Prosthetic Services)
Otolaryngology
Cosmetic and Reconstructive Surgery of the Face
Head and Neck Cancer
Neurotology - Hearing, Balance, and Tumors
Sinus Disease, Allergy, Voice and Swallowing Problems, Sleeping Disorders
Pediatric - Management of Special Pediatric Diseases of the Head and Neck
Thyroid and Parathyroid Surgery, Salivary Gland Diseases and Tumors
Directions & Parking
Residency Information & Education
Conference Schedules
Speech Pathology
Communication and Swallowing Disorders
Audiology
Interdisciplinary Pain Management Center (IPMC)
Pulmonary
Rheumatology
Cardiology Clinic
Cardiac Catheterization Lab
Ortho-Neuro-Vascular (ONV) Ward
Nephrology Clinic
Endocrinology and Diabetes Services
Sleep Disorders Center
Respiratory Care Services
Occupational Therapy
Physical Medicine & Rehabilitation (PM&R)
Physical Therapy
Brain Injury Center
Men's Health
Women's Health & Pregnancy
Antepartum Diagnostic Center (ADC)
Reproductive, Endocrinology, Infertility (REI) Center
Behavioral Medicine Consultation Services
Neonatal Intensive Care Unit (NICU)
Mother Baby Unit
Breastfeeding Support
Urogynecology & Female Pelvic Medicine
Labor and Delivery Unit
Minimally Invasive Gynecologic Surgery (MIGS)
Centering Pregnancy
Moody-Mom or Anxious about Baby
Gynecology Oncology
Vision
Optometry
Ophthalmology (Laser Refractive Clinic)
Mental Health
Addictions Medicine Intensive Outpatient Program
Substance Use Disorder Clinical Care (SUDCC) Clinic
Child and Family Behavioral Health
School Behavioral Health Team
Clinical Child Psychology Fellowship Training Program
Behavioral Health Intensive Outpatient Program (BHIOP)
Multi-Disciplinary Services
Inpatient Behavioral Health - 4B2
Targeted Care
Pharmacy
Radiology
Radiology
Vascular and Interventional Radiology Service
Radiology (CAT Scan)
Radiology (MRI)
Radiology (Nuclear Medicine Service)
Radiology (Ultrasound)
Radiology Fileroom
Dental
Dental Clinics
Na Koa Dental Clinic
Advanced Education in General Dentistry
Oral Maxillofacial Surgery Dental Clinic
Oral and Maxillofacial Surgery Residency Training Program
Orofacial Pain Clinic
Laboratory
Pathology
Case Management
Medical Social Work Service
Other
American Red Cross
COPE Program
LEAN Program
Healthy Lifestyle Program
Human Animal Bond Program
Fisher House
Tripler Physical Fitness Center & Pool
Logistics Division
Safety Office
Tripler Blood Donor Center/Armed Services Blood Program
Tripler Cancer Care Center
Patient Resources
DHA Office of the Inspector General
FAQs
Forms
MHS Notice of Privacy Practices
Policies
Related Links
Birth Certificates
Customer Service
Patient Rights & Responsibilities
Exceptional Family Member Program (EFMP)
Family Advocacy Program
Mail and Distribution Center
Patient Education Center
Religious Services
Sexual Assault Care
News & Gallery
Articles
Videos
DHA Health News
Clinics
Desmond T. Doss Health Clinic
Soldier Recovery Unit (SRU)
About the SRU
Commander
Command Sgt. Maj.
Nomination Packet
Nurse Case Managers
Social Work
Occupational Therapy
Unit Ministry Team
Pacific Regional Trials
2017
About
Articles
Videos
2018
About
Articles
Videos
Warrior Ohana Medical Home
About Us
About the DHA
About the MHS
Aloha Center, Badge and ID
Announcements
Fort Shafter Flats Testing
COVID-19 Vaccine Update
New COVID-19 Delta Variant: What You Need to Know to Stay Safe
Limited Elective Medical Procedures
Army Community Service
Careers at Tripler
Center Judge Advocate
Contact Us
Department of Clinical Investigation
Directory
Education and Training
Professional Allied Health Programs
Graduate Program in Anesthesia Nursing
Pharmacy Residency
Psychology Training
Medical Simulation Center
Graduate Medical Education
Child and Adolescent Psychiatry
Diagnostic Radiology Residency and Education
Selection Process
General Surgery Program
Academic Curriculum
Rotation Sites
Resident Work Area
Medical Students
FAQs
Program Director
Internal Medicine Residency
Curriculum & Schedules
Academics
Scholarly Activity
Unique Opportunities
Finances & Housing
Recreational Activities
Obstetrics and Gynecology Residency
OBGYN Clerkship
Clerkship Information
Objectives
General Clerkship Tips
Obstetrics Tips
Gynecology / Gynecologic Oncology Tips
Otolaryngology Residency
Pediatric Residency
Department Staffing and Workload
Resident Schedule Overview
Resident Rotations
Longitudinal Curricula
Medical Student Rotations
Psychiatry Residency
Transitional Year Program
Urology Residency
Program Leadership
Program Objectives
Academic Schedule
Rotation Sites
Medical Students
Urology Attendings
Urology Residents
Urology Past Graduates
Medical Student Applicants
Graduate Medical Education Medical Student Informational Handbook Directions
Graduate Medical Student Informational Handbook Military Students on Temporary Duty
GME Medical Student Informational Handbook
Graduate Medical Education Medical Student Informational Handbook Fingerprinting Requirements for Civilian Students
Student/Trainee Requirements
Occupational Health Requirements
Joint Knowledge Online
Shadowing
Other Programs offered at Tripler
Clinical Psychology Internship Program
Internship Admissions, Support, and Initial Placement Data
Training Opportunities
Application Process
Interns
Clinical Health Psychology Fellowship Program
Application and Selection
Rotational Offerings
Previous Fellows
Executive Services and Protocol
Hospital Dining Facility
Inspector General
Leaders and Organization
Tripler Army Medical Center Commander Bio
Tripler Army Medical Center Command Sergeant Major Bio
Public Affairs Office
Provost Marshal Office
Employee Safety Office
Hibiscus Award
Daisy Award
TRICARE
Announcements-
Click here for the latest announcements, HPCON and COVID-19 information!
Home
About Us
Education and Training
Student/Trainee Requirements
Occupational Health Requirements
About Us
About the DHA
About the MHS
Aloha Center, Badge and ID
Announcements
COVID-19 Vaccine Update
Army Community Service
Careers at Tripler
Center Judge Advocate
Contact Us
Daisy Award
Department of Clinical Investigation
Directory
Education and Training
Graduate Medical Education
Medical Student Applicants
GME Medical Student Informational Handbook
GME Medical Student Informational Handbook Directions
GME Medical Student Informational Handbook Military Students on Temporary Duty
GME Medical Student Information Handbook Fingerprinting Requirements for Civilian Students
Child and Adolescent Psychiatry
Diagnostic Radiology Residency and Education
Selection Process
Family Medicine Residency
General Surgery Program
Program Director
Academin Curriculum
Rotation Sites
Resident Work Area
Medical Students
FAQs
Internal Medicine Residency
Curriculum and Schedules
Academics
Scholarly Activity
Unique Opportunities
Finances and Housing
Recreational Activities
Orthopaedic Surgery Residency Program
Program Director
Program Quality
Academic Curriculum
Rotation Sites
Presentations and Publications
Simulation Training
Resident Courses
Obstetrics and Gynecology Residency
OB/GYN Clerkship
Clerkship Information
Objectives
General Clerkship Tips
Obstetrics Tips
Gynecology / Gynecologic Oncology Tips
Otolaryngology Residency
Pediatric Residency
Department Staffing and Workload
Resident Schedule Overview
Resident Rotations
Longitudinal Curricula
Medical Student Rotations
Pharmacy Residency
Psychiatry Residency
Transitional Year Program
Urology Residency
Program Leadership
Program Objectives
Academic Schedule
Rotation Sites
Medical Students
Urology Attendings
Urology Residents
Urology Past Graduates
Medical Simulation Center
Professional Allied Health Programs
Graduate Program in Anesthesia Nursing
Pharmacy Residency
Pscychology Training
Shadowing
Student / Trainiee Requirements
Joint Knowledge Online
Occupational Health Requirements
Other Programs offered at Tripler
Clinical Psychology Internship Program
Internship Admissions, Support, and Initial Placement Data
Training Opportunities
Application Process
Interns
Clinical Health Psychology Fellowship Program
Application and Selection
Rotational Offerings
Employee Safety Office
Executive Services and Protocol
Hibiscus Award
Hospital Dining Facility
Inspector General
Leaders and Organization
Tripler Commander Bio
Tripler Command Sergeant Major Bio
Public Affairs Office
Provost Marshal Office
Occupational Health Requirements
General Information
Information on this page applies to all student affiliates (trainees). Student affiliates consist of civilian/military medical students, rotating residents, fellows, practicums, nursing students, student volunteers and students from other health and administrative disciplines and shadowing.
Immunization requirements should be submitted no later than 50 days prior to start of training/shadowing.
All students/trainees/shadowers must be pre-cleared by Occupational Health prior to the start of your training/shadowing.
All immunization records are PHI (protected health information) and must be submitted via
DoD SAFE
(a secured website)
. Instructions on the submission process is noted on the website.
Laboratory titers and verifiable clinical reports are the preferred documentation for immunizations. A summary or list of immunizations without verifiable clinical documentation attached is not acceptable and may result in a cancellation or a delay in the start of your training/observation.
Submit only what is being requested. Do not include outdated records.
Reminder that Hawai'i is a high threat area for certain diseases and that we have additional requirements than most places.
Proponent for this is Tripler Army Medical Center Regulation 40-27, Pre-Placement Medical Immunization Requirements for Military and Civilian Students/Trainees/Observers, 25 February 2022.
Educational Coordinator/Sponsor Responsibilities
Will ensure that all students/trainees/shadowers are registered through Patient Administration before training/shadowing starts
Will provide student/trainee/shadowers immunization records to Occupational Health Services for review per instructions contained in Tripler Army Medical Center Regulation 40-27.
If any discrepancies in Occupational Health Services review, educational coordinator/sponsor will notify the student/trainee or shadower to provide necessary documentation to correct such and resubmit for review and approval of pre-clearance requirements
Immunization Requirements
IMMUNIZATION
PROOF OF IMMUNITY CRITERIA
Tuberculosis
Individuals without history of Latent or Active Tuberculosis
.
1. Documentation of two (2) consecutive annual negative Tuberculin Skin Tests with the most recent negative test within the past 365 days.
2. In the absence of the above, then 2-step testing will be required;
OR
Documentation of a negative Interferon Gamma Release Assay result within 365 days of the start of the rotation.
3. In the absence of the above, then 2-step testing will be required.
Measles, Mumps and Rubella (MMR)
Documentation of two (2) Measles, Mumps and Rubella vaccinations are required. If two (2) are documented, no titers for Measles, Mumps and Rubella are not necessary,
OR
Positive antibody titers for Measles, Mumps and Rubella.
Influenza
Documentation of annual, influenza vaccine.
Tetanus-Diphtheria-Pertussis (Tdap)
Documentation of one dose of Tdap regardless of time interval since last Td only vaccine.
Hepatitis B
Documentation of completed three (3) dose vaccine series with positive Hepatitis B surface antibody titer post vaccination,
OR
Positive Hepatitis B surface antibody titer after reported history of vaccination.
Notes
:
1. Student/trainee health care workers frequently train in areas of the hospital at highest risk of blood/body fluid exposures. Therefore, documentation of a positive Hepatitis B surface antibody titer before rotation is preferred.
2. If documentation of three (3) doses of Hepatitis B vaccine (in compliance with current CDC guidelines for minimum dosing intervals) has been received by Occupational Health Services, but an antibody titer performed before rotation is negative, the student shall be allowed to rotate.
3. The educational institution where a civilian student is enrolled will be notified that the applicable student/trainee should see a provider to receive booster vaccination and repeat Hepatitis B surface antibody testing.
4. Individuals with a continued negative antibody titer after six (6) total doses of vaccine (two (2) completed series) should be tested for evidence of Hepatitis B infection before assuming there is solely a lack of vaccine response.
Varicella (Chicken Pox)
Documentation of two (2) varicella vaccinations are required. If two (2) vaccinations are documented, no titers for Varicella is necessary,
OR
Positive antibody titer;
OR
Diagnosis or verification of a history of Varicella disease by laboratory results or documentation from a health-care provider;
OR
Diagnosis of a history of Herpes Zoster (Varicella Zoster) by a health-care provider.
Meningococcal – MCV
Documentation of completed two (2)-dose series with doses administered eight (8) to twelve (12) weeks apart.
Required only if
:
Known anatomic or functional asplenia,
OR
Known persistent complement component deficiencies in individuals younger than 55 years old or HIV+. (TAMC Regulations 40-56 & 40-27).
COVID-19
1. Documentation of completed 2 dose series or single dose version of an mRNA vaccine + 2 weeks
AND
Booster of the associated mRNA vaccine.
2. Additional requirements as advised by the CDC. (CDC Interim Clinical Considerations for use of COVID-19 Vaccines).
Don't forget to keep your family's information up-to-date in
DEERS
.