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 has been vaccinated against COVID-19; (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 or deferral 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 (vaccines@pdx.edu) , 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

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.

Temporary FDA Deferral

Until the Food and Drug Administration has fully approved at least one vaccine, a personal deferral is available . Once one or more of the vaccines receives full approval, the personal deferral will be discontinued, and you will be considered non-compliant until you provide updated requirement information.

Want to get vaccinated?

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

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

Email a scanned copy to vaccines@pdx.edu.
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 vaccines@pdx.edu, or by calling the Vaccine Information Line at 503.725.2810

Two hands typing on a macbook laptop computer.

COVID-19 Vaccine Requirement Form

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.)
HPV*
Tdap*
Influenza*
*Vaccines at SHAC

Vax to School Immunizations