• Download the Required Immunization Form (pdf) – complete the TOP BOX ONLY (name, address, signature & date) of this form, the immunization records can be attached.

Deadlines:

• Immunization records must be submitted and in compliance by the 5th day of classes in the summer or the 10th day of classes for the fall/spring semester in order to avoid a non-refundable $35 non-compliance processing fee.

Send your immunizations records to:

• UIS Health Services
  Business Services Building, Room 20
  One University Plaza
  Springfield, IL 62703
• Phone: (217) 206-6676
• FAX: (217) 206-7779
• E-mail: HealthService@uis.edu