Pacific University Required Immunizations & Forms
Admitted students must complete the health and required immunization form for your academic area and return forms to the Student Health Center prior to registration.
Required Immunization & Health History Forms
- Undergraduate Arts and Science, Education, and College of Business Immunization and History Frm 2014-15.
- Lane County Education MMR Immunization Form 2014-15.
- International Student Immunization Form 2014-15.
- MFA Program MMR Immunization Form 2014_15
- Health Profession Program Required Immunization and History Form 2014-15 Health Profession Programs include: Athletic Training, Audiology, Dental Health Science, Healthcare Administration, Occupational Therapy & Re-entry, Optometry, Pharmacy, Physician Assistant, Physical Therapy, Professional Psychology, Speech Language Pathology.
- Healthcare Compliance Program MMR Immunization Form 2014-15.
- Womens History Form (for annual exam, Birth Control, Emergency Contraception, STD testing appointments) (PDF)
- Sports Physical History Form for Athletes (PDF)
- Sports Physical Form for Athletes (Athletics Website)
- Authorization to Release Medical Records Form (PDF)