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Pacific Health Services
209.946.2315 option 1
209.946.2315 for after hours instructions
Cowell Wellness Center
1041 Brookside Road
Stockton, CA 95211

New Student Entrance Requirements & Forms

PLEASE NOTE: Beginning Fall 2014, the immunization policy will be strictly enforced. All students must be compliant with the immunization requirements by November 15, 2014 or a $100 late fee will be assessed. 

 Influenza Declination

 Minors - 17 years old after August 27, 2014 (required parent signature)

Housing Meningococcal Form (required if living on campus or a freshman) - only needs to be completed once while a student at Pacific

Consent to Get Medical Records from Health Services (cannot be a blanket release)

 Annual Symptom Review for students who have had a positive Tuberculosis test

Click on the button below that corresponds to your program of study to find paper forms with all of the requirements listed, and complete online forms via: MyHealth@Pacific.


Undergraduates 9 units or more Graduates 9 units or more
NCAA Athletes Under 9 units

Unique Program Health Requirements (does not apply to Pre-dental or Pre-pharm undergraduates)

Pharm D Undergraduate at Pacific Pharm D Transfer
Physical Therapy Speech Language Pathology
Dental Hygiene
  Dugoni Students
Music Therapy Packet

If you have any questions, please email the Email Director of Health Services, Beth McManis.

If you anticipate needing Counseling or Psychiatric care at the start of the school year, please call 209-946-2315 ext 2 to set up an appointment with Counseling Services.