Get Eastern Illinois University Immunization Form 2022-2025

Filling out the Eastern Illinois University immunization form online is an important step for all domestic students enrolling in courses. This guide will provide clear, step-by-step instructions to help you complete the form accurately and efficiently.

Follow the steps to successfully complete your immunization form.

1. Click ‘Get Form’ button to access and open the immunization form in the editing interface.
2. Begin by entering your personal information in the designated fields, including your last name, first name, middle initial, birth date, and student identification number (E#). Make sure to fill in the semester and year you are entering EIU.
3. In the 'Required Immunizations' section, provide the dates of your most current vaccinations for diphtheria, tetanus, pertussis, measles, mumps, rubella, and meningococcal. Use the format of month (MO), day (DAY), and year (YR) to ensure clarity.
4. Next, in the 'Recommended Immunizations' section, include the vaccination dates for COVID-19, hepatitis A, hepatitis B, and HPV (). Again, use the specified format for each entry.
5. Ensure that your immunization records are signed and dated by a qualified health care provider, including their address and phone number. This verification is crucial for compliance.
6. If you are a minor and under the age of 18, a parent or legal guardian must sign the authorization for treatment section, indicating their consent for medical care while you are enrolled at EIU.
7. After filling out all necessary fields, review the form carefully for any errors or omissions. It's essential that all information is accurate before submission.
8. Finally, save the completed form and choose an option to download, print, or share it. You may also submit it through the email, fax, or by mailing it to the health services office.

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