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Get Niu Immunization
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How to fill out the Niu Immunization online
Completing the Niu Immunization form is a crucial step for students enrolling at Northern Illinois University. This guide provides clear, step-by-step instructions to help users effortlessly complete the online form.
Follow the steps to successfully fill out the Niu Immunization form.
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- Begin by providing your personal information. Fill in your last name, first name, and birthday in the designated fields. Ensure that all details are clearly printed.
- Next, indicate your gender and the term you are entering NIU by selecting the appropriate options.
- In the required immunization section, provide the month, day, and year for each dose administered. Fill in the fields for DPT, Tdap, and MMR, ensuring you accurately document every vaccination.
- If applicable, provide the disease date or titer date for rubella and mumps, attaching a copy of the titer where required. Remember that a diagnosis of disease is not acceptable.
- Complete the fields for the health provider's information, including their signature, address, and phone number to verify that immunizations were given.
- Move to the recommended immunizations section and check any additional immunizations as required by your specific program. Document the relevant dates.
- If you are under 18 years of age, ensure that a parent or guardian signs the consent statement for treatment and provides their printed name and date.
- Finally, review all entered information for accuracy and completeness. You can then save changes, download, print, or share the form as needed.
Complete your immunization documentation online today for a smooth enrollment process.
Our NIU Immunization History form is provided here for your reference and if you choose to take it to your provider for completion. Scan and email to immunizationrecords@niu.edu or. Fax documents to 815-753-9599 or. Mail to: Northern Illinois University, Immunization Compliance and Records Office, DeKalb, IL 60115-2828 or.