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CONTACT US

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

Forms

PLEASE NOTE: The immunization policy will be strictly enforced. All students must be compliant with the immunization requirements by February 15, 2015 or they will be subject to a $100 late fee and registration hold. For more information visit the Immunization Requirements page.

 Influenza Declination

 Minors - 17 years old after August 27, 2015 (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 health science students who have had a positive Tuberculosis test

Complete online forms via: MyHealth@Pacific.


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.