EIU Medical Clinic

Illinois College Immunization Act Compliance

Immunizations

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:

1. Diphtheria, Tetanus, Pertussis: Students shall provide dates of any combination of three or more doses of Diphtheria, Tetanus, and Pertussis containing vaccine. One dose must be Tdap vaccine. The last dose of vaccine (DPT, DTap, DT, Td, or Tdap) must have been received within 10 years prior to the term of current enrollment. The minimum time interval between the first and second dose must have been at least four weeks (28 days), with the third dose having been received at least six months after the second or last dose of the basic series.
2. Measles, Mumps, Rubella: Students shall provide documentation of receipt of two doses of MMR (Measles, Mumps Rubella) live vaccine on or after the first birthday. The minimum time interval between each dose must have been at least four weeks (28 days).
3. Meningococcal Vaccine: All new admissions under the age of 22 shall show proof of having at least one dose of meningococcal conjugate vaccine on or after 16 years of age.

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

Please include name of student, E Number, and semester of entry (for example, Fall 2024) on record/submission.

Compliant immunization records MUST:

• Be SIGNED and DATED by the health provider (MD, DO, APN, PA, NP, RN, LPN, MA, Pharmacist), who has either administered the vaccination(s) or is verifying the vaccination. If a nurse is verifying for a provider, then the nurse should be the signing and dating verifier.
  
• Include the complete professional address and professional telephone number of the administering/verifying medical professional
• Provide dates of any combination of three or more doses of Diphtheria, Tetanus and Pertussis containing vaccine. One dose must be Tdap vaccine. The last dose of vaccine (DTP, DtaP, DT, Td or Tdap) must have been received within the last 10 years. Tetanus Toxoid is not
• Provide dates of two MMR’s (measles, mumps and rubella) on or after the student's first birthday.
• All new admissions under the age of 22 shall show proof of having at least one dose of meningococcal conjugate on or after 16 years of age.

International students must contact International Students and Scholars Office or Health and Counseling Services – Medical Clinic for information regarding their IM submission.

Immunization Additional Information

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

Immunizations offered at SBL EIU Student Medical Clinic

Please contact the clinic at 217/581-3013 to make an appointment.

• TDap: $60
• Measles, Mumps and Rubella: $102
• Meningococcal Vaccine: $140
• FREE Flu shots available in the fall to students

WAYS OF SUBMITTING IMMUNIZATION RECORDS:

• FAX to: 217/581-2010
  
• E-MAIL to immunizations@eiu.edu
• MAIL to Health & Counseling Services - Immunizations, 600 Lincoln Avenue, Charleston, IL 61920
• DROP OFF/HAND DELIVER to:
  • Health & Counseling - Health Education Resource Center, 2201 Blair Hall

Questions Regarding Immunizations Should be Directed To

• E-MAIL to immunizations@eiu.edu
• Phone - 217/581-7786
• In person - 2201 Blair Hall, Health Education Resource Center