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Pre-Entrance Requirements and Vaccination Policy
All students must complete and submit the following items to our office before enrollment. The forms and supporting documents can be submitted in person, by fax, or by email. Please keep in mind that communications via email over the internet are not secure. Although it is unlikely, there is a possibility that information you include in an email can be intercepted and read by other parties besides the person to whom it is addressed. Please note: students who do not provide these items within the first quarter attended will have a hold placed on their account.
Pre-Entrance Requirements & Forms
- Health Insurance Verification Form
- Medical History Questionnaire
- TB Testing Protocol
- Immunization Verification & Proof of Immunity
Student Athletes (planning to try-out for/join any university sports team):
- Directions for online Athlete Pre-Participation Physical ATS Instructions (NEW ATHLETES)
- Directions for online Athlete Pre-Participation Physical ATS Instructions (RETURNING ATHLETES)
- Insurance Declaration Packet (ALL ATHLETES)
Vaccination Policy
- Tuberculosis Screening Questionniare – PPD (Mantoux)* -- Required, within the past 12 months. If the screening determines that you must get a PPD, and it is positive, a chest X-ray/QuantiFERON-TB Gold blood test is required.
- Hepatitis B (Hep B) vaccine series* – Three doses required, if under 19 years old
- Measles, Mumps, Rubella (MMR)* vaccine series – Two doses required
- Tetanus, diphtheria, pertussis (Tdap)* vaccine – One dose required, within the past ten years
- Meningococcal Conjugate (Men-ACWY)* vaccine – Required for all students living in the Residence halls
*The student can have these done at the Student Wellness Services. Please contact the department for more information.
VACCINES EXEMPTIONS PROCESS - To apply for an exemption, please download and complete the appropriate exemption form below. The deadline to turn in the exemption form (and any supporting documents) is 2 WEEKS BEFORE YOU MOVE INTO A RESIDENCE HALL OR BEGIN CLASSES OR BEGIN EMPLOYMENT. - Medical Exemptions Form for all vaccines (Hep B, MMR, Men-ACWY, Tdap)
Contact Us
Phone: (951) 785-2200
Fax: (951) 785-2263
wellness@lasierra.edu
Location
Convenience Center
11498 Pierce Street
Suites #A & #B
Riverside, CA 92505
Office Hours:
Fridays: 8am - 12pm
Counseling Services' No-Show Policy
Due to our waitlist and high demand for services, our no-show/late-cancellation policy is as follows: If you would like to cancel or reschedule your counseling appointment for any reason, you need to let Student Wellness Services know at least 24 hours before your appointment. If we do not hear from you, we interpret that to mean you are choosing to disengage from counseling at this time. As such, you will be removed from the therapist's caseload. If/when you are ready to re-engage in therapy, please give us a call and we will once again place you on our waitlist.