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Eastern Illinois University Immunization Form 2022-2025 free printable template

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EASTERN ILLINOIS UNIVERSITY HEALTH & COUNSELING SERVICES 600 LINCOLN AVENUE, CHARLESTON, IL 61920 TELEPHONE: 2175813013 FAX: 8442566402EMAIL: HEALTH@EIU.EDUIMMUNIZATION FORM: DOMESTIC STUDENTS ONLY
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How to fill out Eastern Illinois University Immunization Form

01
Obtain the Eastern Illinois University Immunization Form from the university's website or the health services office.
02
Fill in your personal information at the top, including your name, date of birth, and student ID.
03
Provide documentation of your immunization history, including dates for vaccines such as MMR (measles, mumps, rubella), tetanus, and meningitis.
04
If you have had any medical exemptions or allergies, indicate them in the appropriate section.
05
Ensure that all information is accurate and up-to-date.
06
Sign and date the form, certifying that the information provided is true.
07
Submit the completed form to the health services office either in person, via mail, or electronically as per the instructions.

Who needs Eastern Illinois University Immunization Form?

01
All incoming students who are enrolled for more than 6 credit hours at Eastern Illinois University.
02
Students living in on-campus housing.
03
International students and exchange students.
04
Students returning after a break in enrollment may also need to submit this form depending on their health record status.
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People Also Ask about

Q. Can my employer require that I receive a COVID-19 vaccine? A. Decisions regarding immunization at private workplaces are up to the employer.
Vaccination Requirements Tetanus/Diptheria/Pertussis. Polio. MMR (measles, mumps, rubella) Hepatitis B. Haemophilus influenzae type b (Hib) Varicella (chicken pox) Pneumococcal series.
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
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.
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.
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.
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
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
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.
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.
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.
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)
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.
You can access your immunization records by visiting the Vax Verify portal.
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.
(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
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.
Vaccination Requirements Tetanus/Diptheria/Pertussis. Polio. MMR (measles, mumps, rubella) Hepatitis B. Haemophilus influenzae type b (Hib) Varicella (chicken pox) Pneumococcal series.
6 in 1 vaccine Diphtheria. Tetanus. Pertussis (whooping cough) Hib (haemophilus influenzae b) Polio (inactivated poliomyelitis) Hepatitis B.
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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The Eastern Illinois University Immunization Form is a document that verifies a student's immunization history and compliance with state health regulations required for enrollment.
All incoming students, including undergraduate and graduate students, are required to file the Eastern Illinois University Immunization Form to ensure they meet the immunization requirements.
To fill out the Eastern Illinois University Immunization Form, students should provide their personal information, list their immunizations according to the guidelines provided, and submit it to the appropriate university health office.
The purpose of the Eastern Illinois University Immunization Form is to ensure that all students are protected against vaccine-preventable diseases and to comply with state health regulations related to public health and safety.
The information that must be reported on the Eastern Illinois University Immunization Form includes the student's personal details, documentation of required vaccinations (such as measles, mumps, rubella, etc.), and any relevant medical history related to immunizations.
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