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CONTACT US

Pacific Health Services
209.946.2315 option 1
209.946.2315 for after hours instructions
Cowell Wellness Center
1041 Brookside Road
Stockton, CA 95211

Forms

PLEASE NOTE: The immunization policy will be strictly enforced. All students must be compliant with the immunization requirements by October 15 for the fall and February 15 for the spring or they will be subject to a registration hold. Health Science students will also be subject to a $50 penalty fee. For more information visit the Immunization Requirements page.

 Minors - 17 years old after August 27 (required parent signature)

Housing Meningococcal Form (required if living on campus or a freshman) - only needs to be completed once while a student at Pacific

History and Physical Form

Consent to Get Medical Records from Health Services (cannot be a blanket release)

 Annual Symptom Review for health science students who have had a positive Tuberculosis test

Complete online forms via: MyHealth@Pacific.


If you anticipate needing Counseling or Psychiatric care at the start of the school year, please call 209-946-2315 ext 2 to set up an appointment with Counseling and Psychological Services.