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Student Health Service

New Student Information

Information and forms for new students:   

Comprehensive Student Health and Disability Report 

Kaiser Permanente Information 

  • Before you arrive at Lewis & Clark College bring your immunizations up to date (see below).
  • Understand your medical insurance coverage. Have your card with you (if different then the college sponsored plan).
  • If you are presently taking prescription medications, be sure to come with a new supply. Talk to your prescriber about refills while you’re away. If he/she will no longer prescribe, it may take weeks to get authorization for a new prescription.
  • Bring pertinent medical information and records.
  • Assemble a basic first aid kit. (Including extra eyeglasses, contact lenses etc.)
  • Don’t forget an Umbrella! (a rain jacket and sturdy shoes are also good for walking around campus in the winter months)

Each new student must have a Comprehensive Student Health and Disability Report on file. The form must be completed by the student before arrival at school. In order to complete the form, the student may need to collect medical information from his/her family and physician. Immunization records are usually available through high schools. The information on the Comprehensive Student Health and Disability Report form will become part of the student’s permanent medical record. It is strictly confidential. Download the Comprehensive Student Health and Disability Report now.

Required of each student:

  • Completion of the Comprehensive Student Health and Disability Report.
  • M.M.R. (Measles, Mumps, Rubella) immunization. Two doses required at least 28 days apart and after 12 months of age. Alternatively, an MMR lab (Titer) report indicating immunity satisfies the measles requirement.
  • Tuberculosis screening if you have lived in or traveled to an area that is high risk for tuberculosis. Please see tuberculosis screening form in the Comprehensive Student Health and Disability Report.

Note: In accordance with Oregon law, Lewis and Clark College requires undergraduate students to have two doses of MMR (measles, mumps and Rubella) vaccine administered at least 28 days apart and after the student is 12 months of age.  Students who do not meet the Oregon law requirements may experience registration holds or cancellations.  In situations where the first dose of measles vaccine is received less than 30 days before the start of the students’ first semester, the student will be granted until the beginning of the second semester to obtain their second dose.  Criteria for exemption to the Oregon state measles immunization law include:

Medical exemption-

Please provide a signed physician or nurse practitioner statement         verifying that you have a medical reason for not receiving the immunization (anaphylactic reaction to eggs, immune compromised state, etc.)

Non-medical exemption-

Oregon Health Authority requires a signed Vaccine Education Certificate to be on file at the Student Health Service. This can be accomplished in one of two ways:


  • Watch an online College Measles Module. Print out and sign your Vaccine Education Certificate at the end of the module.

**Please attach the Vaccine Education Certificate to your Comprehensive Student Health and Disability Report.

Highly recommended for each student before arrival on campus:

  • Current diphtheria/tetanus or diphtheria/tetanus/pertussis immunization (primary series plus booster with the past 10 years).
  • Meningococcal (Menomune-A,C,Y and W-135 or Menactra-A,C,Y and W-135) vaccinations. Click here for information regarding Meningococcal Disease.
  • Hepatitis B immunization - a series of three vaccinations given over a six month period. This series usually confers long-term immunity.
  • Human papillomavirus (HPV) vaccine.

Note: These vaccines are available at Student Health Services. 

Please return these forms as soon as possible to:

Student Health Services
Campus Box 133
Lewis & Clark College
0615 S.W. Palatine Hill Road
Portland, OR 97219-7899

Fax: 503-768-7167