Health Profession Students
Required Health & Immunization Requirements
(Audiology, Athletic Trainers, Clinical Nutrition, Dental Hygiene, Dentistry, Music Therapy, Occupational Therapy, Pharmacy, Physical Therapy, Physician Assistant, Social Work, Speech Language Pathology)
Printable Health Requirement Checklist
Login: go.pacific.edu/myhealth - located under the Medical Clearance Tab.
- Complete Health History Questionnaire
- Enter immunization dates and submit records/lab documentation
- Acknowledgement of Patient Lab Service Policy
- Acknowledgement of No Show Cancellation Policy & Fee Schedule
- Acknowledgement of Receipt of Notice of Privacy Practices
- Health History and Physical Examination
- Physical Examination Form to be completed no greater than 3 months prior to matriculation
- Pharmacy/Physician Assistant programs: Annual Requirement
- Pharmacy/Physician Assistant programs: Annual Requirement
- Physical Examination Form to be completed no greater than 3 months prior to matriculation
- Hepatitis B Surface Antibody Titer (Blood Test)
- Hepatitis B Surface Antibody titer showing immunity (quantitative preferred; qualitative accepted).
- For negative titer results: Provide documentation of any previous Hepatitis B vaccination(s) and/or demonstration that the vaccination series has been restarted.
- Pharmacy/Physician Assistant programs: Quantitative Hepatitis B Surface Antibody titer showing immunity as a numerical value (within 5 years)
- Pharmacy/Physician Assistant programs: Quantitative Hepatitis B Surface Antibody titer showing immunity as a numerical value (within 5 years)
- MMR (Measles, Mumps, Rubella) Series
- Two documented doses or antibody titer showing immunity (quantitative preferred; qualitative accepted)
- Pharmacy/Physician Assistant programs: MMR antibody titer showing immunity (within 5 years)
- Pharmacy/Physician Assistant programs: MMR antibody titer showing immunity (within 5 years)
- Two documented doses or antibody titer showing immunity (quantitative preferred; qualitative accepted)
- Varicella Vaccine (Chickenpox) Series
- Two documented doses or antibody titer showing immunity (quantitative preferred; qualitative accepted). Documentation of disease is not acceptable.
- Pharmacy/Physician Assistant programs: Varicella Antibody titer showing immunity (within 5 years)
- Pharmacy/Physician Assistant programs: Varicella Antibody titer showing immunity (within 5 years)
- Two documented doses or antibody titer showing immunity (quantitative preferred; qualitative accepted). Documentation of disease is not acceptable.
- Tdap Vaccine (Tetanus, Diphtheria, Acellular Pertussis); Td Vaccine (Tetanus, and diphtheria toxoids)
- One documented dose of Tdap (after age 10)
- Td booster every 10 years
- Physician Assistant programs: Tdap within 3 year of matriculation
- Influenza Vaccine (Annual Requirement due by November 1st)
- Documentation of Influenza vaccine for current season
- Influenza Vaccination Declination Form - Check with program coordinators if your clinical site mandates vaccine and/or mask requirements. Submit declination form to the Medical Portal and to your program coordinators.
- Dentistry Program: flu clinics to be announced in October
- Tuberculosis Testing Requirement
- No history of positive PPD test or disease
- 2-step PPD screening or QFGT blood test within 3 months of matriculation
- Physical Therapy program: QFGT results only - complete by August 15th–September 30th
- History of positive PPD or disease
- Chest X-ray within 6 months of matriculation.
- Documentation of previous BCG vaccination, latent TB or active TB treatment
- Annual Requirement:
- No history of positive PPD or disease: 1-Step PPD
- History of positive PPD: Complete Tuberculosis Review Form (additional requirements may be due if medically indicated)
- Pharmacy program: 2-Step PPD and/or QFGT required
- Physical Therapy program: QFGT - complete August 15th–September 30th
- Meningococcal Conjugate Vaccine
- One documented dose given on or after 16 for all students who are under 22 years of age.