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EIU Medical Clinic

EIU COVID-19 Isolation & Quarantine Reporting Form

This form should only be utilized by those students who have been ordered by a public health official to isolate as a result of a positive COVID-19 diagnosis or have been required to quarantine as a result of having been exposed to someone who is COVID-19 positive.

Please fill out the form to the best of your ability. Call the EIU Health and Counseling Services - Medical Clinic at 217-581-3013 with any questions.

If possible, please provide documentation of your isolation or quarantine by attaching it to this report. If you do not have documenation, please have your provider or public health official/contact tracer send it to the Medical Clinic:
Fax: 844-256-6402

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Contact Information

Health & Counseling Services

Medical Clinic
Eastern Illinois University Human Services Building
600 Lincoln Avenue
Charleston, IL 61920

Academic Year Hours


Summer Hours

8am – 4:30 Monday – Thursday, 8am – 12pm Friday

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