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  • Immunization Form - Eastern Illinois University - Eiu

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Eastern Illinois University Health Service 600 Lincoln Avenue Charleston, IL 61920 217-581-3013 telephone 217-581-3899 fax IMMUNIZATION FORM PLEASE SEE IMMUNIZATION INFORMATION ON BACK OF FORM Name:.

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Please send records to us at student-immunizations@uiowa.edu and we will expedite processing as much as possible.

How to comply Visit the Med+Proctor website directly or via my.UIC.edu. Click “Register” and use your UIC email address to create either a standard Med+Proctor account or a Med+Proctor Pro account. ... Complete required personal information, download the immunization certificate, and follow the directions provided.

Submit electronically via cougarcare.siue.edu (your secure health portal) OR Submit electronically via cougarcare.siue.edu (your secure health portal) OR. Fax to SIUE Health Service at (618) 650-5839, OR. Mail to Campus Box 1055, Edwardsville, IL 62026-1055, OR.

Why do I need to submit immunization forms? The Illinois College Immunization Code requires that college students enrolled on campus should be immunized against diphtheria, tetanus, pertussis, measles, mumps and rubella. Students under the age 22 must be immunized against meningitis.

Upload a copy of your medical documentation or your completed Med+Proctor immunization certificate to your Med+Proctor account. Make sure your forms are complete and legible. Once the immunization forms are received, you will receive an email confirmation. Chat with Med+Proctor customer support for further assistance.

Submit any immunization records to either immunizations@gsu.edu with panther ID# written on the document or to the student portal at health.gsu.edu. Other Holds: If your registration hold is not immunizations related, please contact GSU Admissions office at 404-413-2000 for further help.

Submit electronically via your Secure Health Portal, OR. Mail to Campus Box 2540, Normal, IL 61790-2540, OR. Fax to Student Health Services at (309) 438-5205, OR. Bring in person to the Student Services Building, Student Health Services reception desk when you are on campus next.

For privacy and protection of your personal health information we only accept records uploaded in your patient portal. You will need to log in the patient portal and upload your immunization records in the medical clearance section.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232