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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

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: - 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

  • 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)

  • 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)

  • 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)

  • 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.