Forms and Required Immunization Information

Pacific Requires Full Series of COVID-19 Vaccine and Booster

Pacific University requires all eligible employees and students to complete a full series of the COVID-19 vaccine and booster at least two weeks prior to arriving on campus. 

Medical Exemption Request

Religious Exemption Request 

Required Immunization Forms 

New students must submit immunization documentation including Measles/MMR vaccine dates, as required by the State of Oregon and proof of COVID-19 vaccines and booster 2 weeks prior to beginning classes. Returning students must submit proof of COVID-19 vaccine and do not need to resubmit proof of Measles/MMR vaccines.

UPLOAD DOCUMENTS

College of Health Profession and College of Optometry: Contact your program for immunization requirements as each program may be different. These programs include Athletic Training, Audiology, Dental Hygiene, Healthcare Administration/BHS Healthcare Management, Occupational Therapy and Re-entry, Optometry, Pharmacy, Physician Assistant, Physical Therapy, Professional Psychology programs, Speech Language Pathology, Vision Science.

State of Oregon required information

  • In accordance with the Oregon State Health Division, two doses of measles (rubeola) vaccine, commonly given as an MMR, are required of all entering students born on or after January 1, 1957.
  • Oregon Senate Bill 274 requires that information about vaccine preventable diseases be given to all incoming university students. Please review this information and if you have questions about these or any vaccines, call your provider or the Student Health Center. 

Authorization to Disclose Health Records

Release of Information