Health Career Program Vaccination Information & Clinics

Immunization Requirements

The Deschutes County Health Services (DCHS) offers all immunizations that we require.

Payment required in full at time of service (see fees below)

Credit/Debit/Check/Cash accepted; Oregon Health Plan (OHP) accepted.

Please bring any vaccine records you have, payment and/or your OHP card.

All immunizations, skin tests and laboratory tests required for the following programs will be offered:

  • Dental Assisting
  • Emergency Medical Services - EMT and Paramedic
  • Medical Assisting
  • Nursing - CNA, LPN and RN
  • Pharmacy Technician
  • Veterinary Technician

All programs (except Veterinary Technician) follow the Centers for Disease Control and Prevention (CDC) immunization schedule for health-care personnel as shown in the table below.

The Hepatitis B Vaccine series is recommended (but not required) for Veterinary Technician students who will be working with primates.

Please check the specific program website for details and deadlines for submitting documentation of immunizations, skin tests, and laboratory results.

Please bring all available immunization and titer records with you to the immunization clinic.  Please make an effort to locate past immunization records.  Your physician, your parent, or your most recent middle or high school may have your records.  This can help prevent you from receiving shots you do not need.

Note: If you have children, your OB may have some of the titers available in your medical records. Hepatitis and Rubella titers are commonly obtained as part of prenatal lab work.


CDC Immunization Schedule



Required follow-up lab/radiology test

Alternative lab test (instead of immunization)

Hepatitis B


2 doses at least  4 weeks  apart;  3rd dose at least 5 months after second dose

1-2 months after 3rd dose: Hepatitis B surface antibody test (titer) documenting immunity

Hepatitis B surface antibody test (titer) documenting immunity

MMR (measles, mumps, rubella)


2 doses at least 4 weeks apart; or 1 dose if born before 1957


Measles, mumps and rubella antibody tests (titers) documenting immunity

Varicella (chicken pox)


2 doses at least 4 weeks apart


Varicella antibody test (titer) documenting immunity

Teatnus, Diptheria, Pertussis - Tdap


Age 18 or older



2-Step TB Testing (PPD)


2 tests at least 14-21 days apart.  Each test will need to be read 48-72 hours after administration.  Since the second test must be administered and read 14-21 days after the first you will need to schedule an appt with a DCHS office for the second dose. Following the first dose if you cannot attend the DCHS PPD reading clinic at COCC, you may schedule a reading within 72 hours at a DCHS office.

Students with a current or past positive PPD test must  provide documentation of the positive TB test and submit a chest x-ray report.

IGRA blood draw: Must be Quantiferon Gold or T-Spot documenting immunity

Influenza   1 dose     


Medical Exemption

 If you had a life-threatening allergic reaction to a vaccine, you must provide documentation from your health care provider.  Please request a letter on your provider's letterhead describing the nature of your reaction/exemption.  Submit along with all other required documentation.

Religious Exemption

 Please see the Nursing/Allied Health Administrative Assistant for instructions on documentation of immunization exemption for religious reasons.  The Nursing/Allied Health Administrative Assistant is available fall, winter and spring terms Monday to Friday in HHC 257 from 8am-12noon and HHC 357 from 12:30pm - 4:30pm.  The offices are closed during summer and school breaks.

DCHS Immunization Clinic Payment

The clinic accepts cash, personal check, debit cards, Visa and MasterCard.  Payment must be made at the time of your visit.

DCHS Immunization Prices  (current 5/2013)

 Students with OHP insurance must bring their insurance card with them to the clinic.  All fees will be billed to OHP.  If you do not present your card at the time of the visit, you will be charged the "no insurance" fees.

DCHS Price List per shot
No Insurance Price per Shot
No Insurance Price to Complete Entire Series
Hepatitis B $63.31 $189.93
MMR $21.96 $43.92
Tdap $21.96 $21.96
Varicella $121.88 $243.76
TB Testing $30.00  
Titers $20 visit fee plus   
Hepatitis B $35  
Measles $30  
Mumps $30  
Rubella $30  
Varicella $35  


DCHS Immunization Clinics - to schedule an immunization or PPD reading appointment at a DCHS office, call 541-322-7400.


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