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Institutional Animal Care and Use Committee (IACUC)

Step 4 - Health Questionnaire and Medical Clearance

You and your students need to complete Periodic Animal Contact Health Questionnaire. The last page, the Clearance Recommendation, will be completed by a physician.

  • Complete the first part – the Periodic Animal Contact Health Questionnaire
  • Take the Questionnaire/Clearance Recommendation to your personal physician. You are responsible for any associated costs. Students can make an appointment at the Student Health Center.
  • If you or your students have not received a tetanus booster within the last 10 years, you will need to receive a booster.
  • Once the last page has been completed, return it to Dr. Leah Stiemsma in the Natural Science Division.
    Pepperdine University
    24255 Pacific Coast Hwy
    Malibu, CA 90263-4321