Get Il Uiuc Mckinley Health Center Immunization History 2021-2025

Filling out the IL UIUC McKinley Health Center Immunization History form is an essential step for your enrollment. This guide provides clear, step-by-step instructions to help you complete the form accurately and efficiently.

Follow the steps to fill out the form online:

1. Press the ‘Get Form’ button to access the Immunization History form and open it for completion.
2. Begin by entering your last name, first name, and middle name in the designated fields.
3. Provide your University Identification Number, home address, preferred phone number, and email address in the respective sections.
4. Fill out your city, state, country, and zip or postal code in the appropriate fields.
5. Enter your date of birth in the format mm/dd/yyyy and your age.
6. Indicate your gender by selecting one of the options available.
7. If applicable, provide an alternate phone number.
8. Select your citizenship status and provide the enrollment term and year.
9. Designate a person to notify in case of an emergency, including their relationship to you, name, address, and contact phone numbers.
10. The required immunization section must be completed by a licensed health care provider. Ensure they provide the necessary documentation and dates for all vaccinations.
11. In the recommended immunizations section, specify any vaccines received and their dates.
12. The healthcare provider must verify the vaccination dates by signing and providing their name, address, and phone number.
13. Finally, save your changes, and download or print the completed form, and share it as required.

Complete your Immunization History form online today to ensure your enrollment is not delayed.