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