High Quality, Low Cost Health Care

Forms & Policies

Health Record Requirement
For traditional Undergraduate Students:

Prior to entering California Lutheran University, completion of the Medical History form, Immunization History form, Meningitis Awareness form, Tuberculosis Screening Form and uploading your official immunization record is required of every undergraduate student and must be completed online at your student health portal

The following vaccines are required of all incoming traditional undergraduate students:

  • MMR (mumps, measles, and rubella): 2 doses
  • Td/Tdap (tetanus/ diphtheria/ with or without pertussis): 1 dose within last 10 years after finishing the primary childhood series
  • Hepatitis B: 3 doses
  • Meningitis ACWY (such as Menactra or Menveo): one dose at age 16 years or older

Uploading an official immunization or vaccination record to the student health portal is required.  If you do not have an official record, you may print out this Immunization Record form and have your health care provider complete and sign it.

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Patient Privacy

We provide confidential health care which respects the privacy of an individual's medical information. In certain specified cases, Health Services may release your medical information without written consent.

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Your Rights & Responsibilities

We are pleased to work with you to keep you in good health. We are available for advice on how to stay healthy and to assist you in getting well again if you are ill.

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