COVID-19 Vaccine Requirement

COVID-19 Vaccine Requirement 

Portland State University's COVID-19 Vaccine Policy requires all students who learn, work, and engage at PSU locations to submit either (1) an attestation confirming the student is fully vaccinated; (2) an attestation confirming they will not be taking in person classes, living in on-campus housing and not be using in person services; or (3) submit an applicable exemption as described below.

This requirement applies to all students enrolled in or registered for in-person instruction for any portion of their course load.  It also applies to students who are registered for fully online courses and participate in any on-site or in-person university activity or university-provided or sponsored service.

Acrobat Instructions

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Smart phones: If you are completing the form and using a smart phone device, please follow the Smart Phone Instructions.

Form Submission: All forms being submitted must be - attached directly to an email ( , faxed on white paper only (503.725.5812), sent by mail (COVID-19 Vaccine, PO Box 751, Portland, OR 97201) or dropped off during open hours.

Completing the COVID-19 Vaccine Requirement

Please see the step by step instructions provided below.

Steps to Complete the COVID-19 Vaccine Requirement

Medical & Non-Medical Exemptions

  • Complete the required steps for a Medical or Non-Medical* Exemption (see form for details).
    • Overview: As of March 1, 2014, under the Oregon State Immunization Law, those claiming a non-medical exemption are required to either complete an online educational module or seek consultation with a health care provider.
    • Educational Module: If you plan to fulfill the exemption through the online educational module, you will need to fully complete the module then sign the designated section of the COVID-19 Vaccination Exemption Form.
    • Read the COVID-19 Vaccination Exemption Form for further details regarding medical and non-medical exemptions. 

Submit your signed and completed exemption request form to SHAC in one of the following ways:

  • Email a scanned copy to
  • Fax your form (on white paper only) to 503.725.5812.
  • Deliver your form to SHAC during business hours. SHAC is located in the University Center Building on the corner of SW 6th Avenue and SW Hall Street in Suite 200.
  • Mail the COVID-19 Vaccine Requirement to PSU-SHAC, Attention: COVID-19 Vaccine, PO Box 751, Portland, OR 97201.

Need Assistance?

SHAC has staff dedicated to assisting students with their COVID-19 Vaccine Requirement. Contact them by emailing

Want to get vaccinated?

To schedule a vaccine with SHAC or to find provider in the community, please visit our COVID-19 Resources Page

Students talking outside of a PSU building.

Other Recommended Vaccinations

The Oregon Health Authority recommends the following vaccinations for new or returning college students:

Varicella (Chicken Pox)
Hepatitis A*
Hepatitis B*
Meningococcal ACWY
Meningoccal B (Check with a health care provider to see if this vaccine is right for you.)
*Vaccines at SHAC