Medical Clinic Immunization Form for Domestic Students
On July 21, 2016, the Illinois Joint Committee on Administrative Rules revised and adopted the Illinois College Student Immunization Act [110 ILCS 20], administered by the Illinois Department of Public Health . On August 5, 2016, these revisions were published. These new regulations added to the immunizations which had been previously needed for matriculation to all public and private colleges and universities.
Compliance with this act requires all persons born on or after January 1, 1957 entering a four year public or private institution of higher education to provide proof of immunization. The following proof of immunity is required:
Students must provide the Health & Counseling Services - Medical Clinic with proof of immunity. Please see below table for preferred deadlines, and deadlines which records must be received and validated by in order to avoid penalties. Failure to have verified immunization records by the end of the 2nd week of the semester will result in a registration hold being placed on the student's account, preventing them from registering for future classes. Failure to have verified immunization records by the end of the 4th week of the semester will result in a $35 non-compliance charge.
Please see the Academic Year 2023-2024 notice regarding Immunization Compliance by clicking HERE
Deadlines for Immunization Compliance |
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Preferred Submission Date |
Deadline to Avoid Penalties |
Registration Holds Placement Date |
$35.00 Financial Fine Placement Date |
Fall Semester |
August 1 |
First Day of Class of the Semester |
Friday of the 2nd Week of the semester |
Friday of the 4th Week of the Semester |
Spring Semester |
December 15 |
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Summer Semester |
May 1 |
Compliant immunization records MUST:
Documents that are NOT LEGIBLE or are INCOMPLETE WILL be sent back to the student. We DO NOT keep incomplete records.
International students must contact International Students and Scholars Office or Health and Counseling Services – Medical Clinic for information regarding their IM submission.
Immunization Action Coalition offers additional multilingual immunization information.
Persons from high TB risk countries should be screened for TB and TB infection. Persons from low-risk countries should only be tested if symptomatic or if they have risk factors. Students from high-risk countries require a TB Gold (blood draw). Click here to see the list of high TB risk countries
Please contact the clinic at 217/581-3013 to make an appointment.
WAYS OF SUBMITTING IMMUNIZATION RECORDS:
Questions Regarding Immunizations Should be Directed To
Medical Clinic
Eastern Illinois University Human Services Building
600 Lincoln Avenue
Charleston, IL 61920
217-581-3013
health@eiu.edu
8am-4:30pm
8am – 4:30 Monday – Thursday, 8am – 12pm Friday