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Health Examinations

Congratulations on your acceptance into your chosen Health Occupation program. Prior to the first day of the quarter, you will need to provide the following information:

image of a checked boxA completed physical form, or if you are starting the phlebotomy program, a medical history form. (available at Health Services, 360-992-2264)

image of a checked boxCopies of your immunization records, which must contain:
  • Two doses of MMR (measles, mumps and rubella) or one dose of measles vaccine and one MMR, given at least one month apart, given after your first birthday
  • The first two of three doses of Hepatitis B vaccine, given at least one month apart.
  • If you have not had the chicken pox, you need two doses of Varicella vaccine given at least one month apart, given after your first birthday. If you have had the chicken pox, we will need to know how old you were when you had the disease.
  • One dose of Tetanus/Diptheria (Td) or Tetanus/Diptheria/Pertussis (Tdap) vaccine within the past five years. If it has been over 5 years, the current recommendation for health care providers is to receive a dose of the new vaccine, Tetanus/Diptheria/Pertussis (Tdap).

image of a checked boxSerologic proof of immunity to measles, rubella, hepatitis B and varicella may exempt you from the vaccination, if the documentation is attached.

image of a checked boxTuberculosis Skin Testing (also known as PPD or TST), if you have never been tested for TB, or it has been greater than a year since your last test, a two-step test is required (two tests, given 1-3 weeks apart). If you have never had a two-step test, but have had a TST in the past 12 months, one additional TST will be needed.  In the case of a previous positive PPD, documentation of a clear chest x-ray is required. QFT-G laboratory test results are also acceptable.

image of a checked boxDuring Fall quarter, students may be required to be vaccinated against flu, please check with your program.

Please send or fax the completed physical form and documentation to:
Clark College Health Services HSC 124
1933 Fort Vancouver Way
Vancouver, WA 98663-3958


Confidential Fax (360) 992-2853

If you do not have a health care provider or your insurance plan will not cover this cost, Clark College Health Services provides services to students at very low cost. Please call 992-2264 for an appointment, or should you have any questions about these requirements




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