All students are required to show proof of health insurance in order to register for classes. Health insurance provides for partial payment of medical services required if the student suffers a serious illness or injury while attending college. Although international students are encouraged to purchase health insurance in their home country, HTIC makes available a locally administered health plan for students without coverage. A listing of local health care providers is available from the Office of Student Services and bilingual physicians are included on the list for the convenience of HTIC’s international students. The State of Hawai‘i requires that all students at an educational institution in Hawai‘i be free of tuberculosis. Therefore, every student must have a tuberculosis test within six months prior to the start of school and submit a certificate, issued in Hawai‘i, indicating that they are free of active tuberculosis. Documentation of measles, mumps, and rubella immunization, as prescribed by the laws of the State of Hawai‘i, is also required of all students born after 1957. Assistance will be provided during orientation for students needing to obtain a Tuberculin test, certificate of clearance, and the required two Measles Mumps Rubella (MMR) immunizations. It is strongly recommended that all students bring a copy of their vaccination history to HTIC for review by relevant professionals. Although not required, the Centers for Disease Control and Prevention recommends that students living in a dormitory environment receive the meningococcal vaccine (meningitis).