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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

Medical Exemptions

How to qualify for an Immunization Medical Exemption

The University of the Pacific allows for exemptions to immunization requirements based on medical conditions that are contraindications to vaccinations for the following vaccines: MMR (measles, mumps, and rubella), Varicella (chickenpox), Tdap (tetanus, diphtheria, and pertussis) or Meningococcal conjugate (Serogroups A, C, Y, & W-135) for certain groups of students.

A list of established medical contraindications to vaccines can be found on the Centers for Disease Control and Prevention (CDC) website for Guide to Contraindications

  • Print a copy of the MEDICAL EXEMPTION request form for each vaccine requesting a medical exemption. 
  • Ensure each form is signed by a licensed, treating medical provider (MD, DO, NP, or PA) and include the practice location address, telephone number, signing provider's license number, and state or country (if outside the U.S.) where the licensed medical provider practices.
  • Requests for exemption will be approved if the Medical Exemption Request Form requirements are met for each vaccine requested.


Requests for medical exemptions will be reviewed by the Director of Student Health Services (SHS). If information supplied is insufficient, the exemption request may be denied. If the exemption is denied, the student must comply with the immunization requirements prior to the next academic term in order to register.