Eastern Illinois University Immunization Form 2021 free printable template

IMMUNIZATION FORM DOMESTIC STUDENTS ONLY PLEASE SEE BACK OF FORM FOR IMMUNIZATION COMPLIANCE POLICY & DEADLINES Name: E#: (Last)(First)Birthday / / Month Day(Middle Initial)Gender: Term Entering EU:

How to fill out Eastern Illinois University Immunization Form

How to fill out Eastern Illinois University Immunization Form

1. Obtain the Eastern Illinois University Immunization Form from the university's website or health services office.
2. Fill out your personal information at the top of the form, including your name, student ID, and contact information.
3. Complete the vaccination history section by listing all required immunizations, including dates of vaccinations.
4. Ensure to include any additional vaccinations that may not be specifically required but are relevant to your health.
5. Have your healthcare provider review and sign the form to confirm that the information is accurate.
6. Submit the completed form to the appropriate office at Eastern Illinois University by the deadline specified.

Who needs Eastern Illinois University Immunization Form?

1. All incoming students at Eastern Illinois University are required to submit the immunization form.
2. Students living on campus must provide proof of immunizations.
3. Any student participating in certain programs or athletics may also need to complete the immunization requirements.

People Also Ask about

Can my employer require a COVID vaccine in Illinois?

Q. Can my employer require that I receive a COVID-19 vaccine? A. Decisions regarding immunization at private workplaces are up to the employer.

What vaccines are required for Illinois school?

Vaccination Requirements Tetanus/Diptheria/Pertussis. Polio. MMR (measles, mumps, rubella) Hepatitis B. Haemophilus influenzae type b (Hib) Varicella (chicken pox) Pneumococcal series.

How to get exempt from COVID vaccine in Illinois?

Please include at a minimum the following information detailing why you are seeking this exemption: what tenet or belief your religion holds that prevents you from getting the Covid-19 vaccination; and whether you are opposed to all immunizations, and if not, the religious basis on which you object to COVID-19

How do I get my immunization records in Wisconsin?

Wisconsin Immunization Registry (WIR) is an online database that tracks vaccine records for Wisconsin children and adults.Enter one of the following for the person's record you are searching: Social Security number. Medicaid identification number. Health care member identification number.

Should everyone get the HPV vaccine?

Teens and young adults should be vaccinated too Everyone through age 26 years should get HPV vaccine if they were not fully vaccinated already. HPV vaccination is not recommended for everyone older than age 26 years.

Are vaccines mandatory in Illinois?

Who is required to get vaccinated? Health care workers, school personnel, higher education personnel and students, and state-employees and contractors who work at state-owned or operated congregate facilities are required to be fully vaccinated.

How to get religious exemption for COVID vaccine in Illinois?

Please include at a minimum the following information detailing why you are seeking this exemption: what tenet or belief your religion holds that prevents you from getting the Covid-19 vaccination; and whether you are opposed to all immunizations, and if not, the religious basis on which you object to COVID-19

Is HPV vaccine required in Illinois?

Provides that the Department of Public Health shall adopt a rule requiring students, upon entering the sixth grade of any public, private, or parochial school, to receive the human papillomavirus (HPV) vaccination and requiring confirmation that the student has completed the series of HPV vaccinations upon entering the

How do I get my immunization records in Indiana?

An individual, parent or guardian can access their own immunization records through the MyVaxIndiana patient portal. Click here or contact your healthcare provider to learn more about MyVaxIndiana.

Is Hep B vaccine required for school in Illinois?

Kindergarten through 12th Grade Kindergarten through 5th grade not a requirement. Recommend reviewing these records and if necessary, have student be brought up to date with hepatitis B series.

Is COVID vaccine mandatory in Illinois?

Beginning on September 19, 2021, those who are unable or unwilling to be vaccinated will be required to get tested for COVID-19 at least once per week until they can prove that they are fully vaccinated.

What are the 3 shots they give newborns?

At 1 to 2 months, your baby should receive vaccines to protect them from the following diseases: Hepatitis B (HepB) (2nd dose) Diphtheria, tetanus, and whooping cough (pertussis) (DTaP) (1st dose) Haemophilus influenzae type b disease (Hib) (1st dose)

Is Tdap required for school in Illinois?

Although school staff and parents are not required to receive the Tdap vaccine, the Illinois Department of Public Health recommends that all persons 10 years of age and older get vaccinated with Tdap to protect against the ongoing threat of whooping cough.

How do I get a copy of my immunization records in Illinois?

You can access your immunization records by visiting the Vax Verify portal.

What vaccines are required for 9th grade in Illinois?

Freshmen Requirements A 9th grade physical is required for high school entrance (sports physicals are not acceptable). Use form IL 444-4737 (R-11-15). Immunizations must be included for Tetanus/Diphtheria/Pertussis (Tdap), Polio, MMR (Measles/Mumps/Rubella), Hepatitis B series and Varicella.

Can a child attend school without vaccines in Illinois?

(3) Every child shall, at or about the same time as he or she receives a health examination required by subsection (1) of this Section, present to the local school proof of having received such immunizations against preventable communicable diseases as the Department of Public Health shall require by rules and

Are HPV vaccines mandatory?

All preteens need HPV vaccination, so they are protected from HPV infections that can cause cancer later in life. Teens and young adults through age 26 years who didn't start or finish the HPV vaccine series also need HPV vaccination.

What immunizations are required for high school in Illinois?

Vaccination Requirements Tetanus/Diptheria/Pertussis. Polio. MMR (measles, mumps, rubella) Hepatitis B. Haemophilus influenzae type b (Hib) Varicella (chicken pox) Pneumococcal series.

What vaccines do babies get?

6 in 1 vaccine Diphtheria. Tetanus. Pertussis (whooping cough) Hib (haemophilus influenzae b) Polio (inactivated poliomyelitis) Hepatitis B.

What happens if I have Covid and get the vaccine?

Yes, you should be vaccinated regardless of whether you already had COVID-19 because: Research has not yet shown how long you are protected from getting COVID-19 again after you recover from COVID-19. Vaccination helps protect you even if you've already had COVID-19.

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What is Eastern Illinois University Immunization Form?

The Eastern Illinois University Immunization Form is a document that students must complete to provide proof of their immunization status, ensuring compliance with state health regulations.

Who is required to file Eastern Illinois University Immunization Form?

All incoming students, including undergraduates and graduates, are required to file the Eastern Illinois University Immunization Form as part of their enrollment process.

How to fill out Eastern Illinois University Immunization Form?

To fill out the Eastern Illinois University Immunization Form, students should provide their personal information and vaccination records, including dates and types of vaccines received, and submit the completed form to the university's health services.

What is the purpose of Eastern Illinois University Immunization Form?

The purpose of the Eastern Illinois University Immunization Form is to ensure the health and safety of all students by verifying their immunization history and compliance with public health mandates.

What information must be reported on Eastern Illinois University Immunization Form?

The information that must be reported on the Eastern Illinois University Immunization Form includes the student's personal details, vaccination dates, types of immunizations received, and any medical exemptions if applicable.