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Forms to complete

Identify what kind of visitor you are and fill out the corresponding forms. Select one of the following links to download the appropriate form for your visitor type.

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How to turn in forms

I. Immunization Records

Students, interns, faculty and others who will be on the OSH campus for eight hours or more are required to have had a seasonal influenza vaccination and a tuberculosis assessment – whether you are inside or outside the secure perimeter.

Documentation of immunizations and/or tests must be sent to the Infection Prevention Office via U.S. mail, fax or email:

Infection Prevention Office
Attn: Infection Prevention
2600 Center St. NE
Salem, OR 97301-2682
Fax: 503-947-2825
Scan & Email:

II. All other forms

You may drop off the forms at the Salem Campus Communications Center or the Junction City campus Reception window. Clearly mark the envelopes with your contact person's name (see table below).

You may also send the forms to your contact via email or U.S. mail:

Salem Campus
Attn: Name, Department
Oregon State Hospital
2600 Center Street NE
Salem, OR 97301
Junction City Campus
Attn: Name, Department
Oregon State Hospital
29398 Recovery Way
Junction City, OR 97448



If you are still unsure which clearance packet applies to you, contact Kirsten Hewlett at