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CONTACT US

Immunization Compliance Office
209.946.2315 option 5
Cowell Wellness Center
Annabelle Zamora
Immunization Compliance Coordinator
3601 Pacific Avenue
Pacific Health Services
Stockton, CA 95211

Non-Health Profession Students

 Printable Student Health Requirement Checklist 

Login: go.pacific.edu/myhealth — located under the Medical Clearance Tab

  • Complete Health History Questionnaire
  • Enter immunizationd dates and submit immunization/lab documentation
  • Acknowledgement of Patient Lab Service Policy
  • Acknowledgement of No Show Cancellation Policy & Fee Schedule
  • Acknowledgement of Receipt of Notice of Privacy Practices
  • Physical Exam strongly recommended but not required
  • Complete Tuberculosis (TB) Screening
    • MMR (Measles, Mumps, Rubella) Series
      • Two documented doses OR antibody titer showing immunity 
    • Varicella Vaccine (Chickenpox) Series
      • Two documented doses OR antibody titer showing immunity 
      • Documentation of Varicella disease is not acceptable
    • Tdap Vaccine (Tetanus, Diphtheria, Acellular Pertussis)
      • One documented dose of Tdap after age 10
    • Tuberculosis Screening Questionnaire
      • Students at higher risk for TB infections, as indicated by answering "Yes" to any of the screening questions is required to undergo a PPD skin test, blood test (QFGT), or chest x-ray within 6 months prior to start of matriculation.
      • Provide documentation of previous BCG vaccination, latent TB or active TB treatment
    • Meningococcal Conjugate Vaccine
      • One documented dose given on or after 16 for all students who are under 22 years of age.

 

FOR MORE INFORMATION ABOUT STUDENT HEALTH INSURANCE AND WAIVER REQUIREMENTS visit www.pacific.edu/insuranceoffice.