Get Southern Illinois University Immunization Complaince Form 2018-2025

Filling out the Southern Illinois University Immunization Compliance Form is a key step for students to meet health requirements before attending classes. This guide provides clear, step-by-step instructions to assist users in completing the form accurately and efficiently online.

Follow the steps to complete your immunization compliance form online.

1. Press the ‘Get Form’ button to access the Southern Illinois University Immunization Compliance Form and open it in your document editor.
2. Begin by filling out the Student Information section. Enter your first name, last name, date of birth (in mm/dd/yy format), age, and middle initial. Be sure to include your Dawg Tag number and the term you will be entering SIU, indicating the semester and year.
3. Provide your address, including city, state, and zip code. Indicate your preferred method of contact by checking the appropriate box for phone, email, or text. If you select text, provide your phone number and carrier.
4. If you are an international student, list your country of origin. Remember, tuberculosis screening will be conducted on campus at the Student Health Center upon your arrival, so keep a copy of this form and any related immunization documents for reference.
5. Complete the Required Immunizations section. This includes entering the dates for Measles, Mumps, and Rubella vaccinations, along with Tetanus-Diphtheria-Pertussis and Meningitis vaccinations. Ensure all dates are in mm/dd/yy format and that required documentation is attached.
6. If a health care provider administered your vaccinations, make sure that they complete the necessary sections of the form, including signature and credentials. This step is essential for verifying that immunizations were given.
7. Once all fields are accurately filled in, review your information for any errors or omissions. Save your changes, and then you can download, print, or share the form as necessary. You may submit your completed form via fax, email, or traditional mail as provided in the instructions.

Complete your Southern Illinois University Immunization Compliance Form online today!