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 students.pulse.pacific.edu/insuranceoffice.