Get Immunization Form - Eastern Illinois University - Eiu

Filling out the immunization form for Eastern Illinois University is a crucial step for new students. This guide provides a clear, step-by-step approach to ensure that you complete the form accurately and efficiently for online submission.

Follow the steps to complete the immunization form online.

1. Press the ‘Get Form’ button to access the immunization form and open it in your preferred online editor.
2. Begin filling out the form by entering your full name, including your last name, first name, and middle initial. Also, include your Eastern Illinois University student number (E#) and birthday.
3. Indicate your gender by selecting either 'M' for male or 'F' for female, and provide the term you are entering EIU, including the semester and year.
4. In the required immunizations section, fill in the month, day, and year for each vaccination received. Ensure that you provide complete and accurate dates as specified.
5. If applicable, for each immunization listed, attach the necessary laboratory results. Note that a diagnosis of a disease cannot be accepted as proof.
6. For the recommended immunizations, indicate if you have received the HBV, HPV, or meningitis vaccinations by entering the administration dates in the prescribed format.
7. In the health care provider section, provide the name, address, signature, and telephone number of the individual who verifies that the immunizations were administered.
8. If you are under the age of 18, ensure that a parent or legal guardian fills out the authorization section, providing their name and signature along with the date.
9. After completing all sections of the form, review the details for accuracy. You can then save your changes, download the completed form, print it for your records, or share it as needed.

Complete your immunization form online today to ensure compliance with Eastern Illinois University requirements.