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EIU Medical Clinic

Illinois College Immunization Act Compliance

 

Immunizations

Medical Clinic Immunization Form for Domestic Students

On July 21, 2016, the Illinois Joint Committee on Administrative Rules revised and adopted the Illinois College Student Immunization Act [110 ILCS 20], administered by the Illinois Department of Public Health .  On August 5, 2016, these revisions were published.These new regulations added to the immunizations which had been previously needed for matriculation to all public and private colleges and universities.  

Compliance with this act requires all persons born on or after January 1, 1957 entering a four year public or private institution of higher education to provide proof of immunization. The following proof of immunity is required:

  1. Diphtheria, Tetanus, Pertussis: Students shall provide dates of any combination of three or more doses of Diphtheria, Tetanus, and Pertussis containing vaccine. One dose must be Tdap vaccine. The last dose of vaccine (DPT, DTap, DT, Td, or Tdap) must have been received within 10 years prior to the term of current enrollment. The minimum time interval between the first and second dose must have been at least four weeks (28 days), with the third dose having been received at least six months after the second or last dose of the basic series.
  2. Measles, Mumps, Rubella: Students shall provide documentation of receipt of two doses of MMR (Measles, Mumps Rubella) live vaccine on or after the first birthday. The minimum time interval between each dose must have been at least four weeks (28 days).
  3. Meningococcal Vaccine: All new admissions under the age of 22 shall show proof of having at least one dose of meningococcal conjugate vaccine on or after 16 years of age.

Students must provide the Health & Counseling Services - Medical Clinic with proof of immunity.  Please see below table for preferred deadlines, and dealines which records must be recieved and validated by in order to avoid penalties.  Failure to have verified immunization records by the end of the 2nd week of the semeste will result in a registration hold being placed on the student's account, preventin them from registering for future classes.  Failure to have verfiied immunication records by the end of the 4th week of the semester will result in a $35 non-compliance charge.

 

Deadlines for Immunization Compliance

 

Preferred Submission Date

Deadline to Avoid Penalties

Registration Holds Placement Date

$35.00 Financial Fine Placement Date

Fall Semester

August 1

First Day of Class of the Semester

Friday of the 2nd Week of the semester

Friday of the 4th Week of the Semester

Spring Semester

December 15

Summer Semester

May 1

 

Compliant immunization records MUST:

  • Be SIGNED and DATED by a health provider (MD, DO, APN, PA, NP, RN, LPN, MA, Pharmacist), including their complete address and telephone number and be
  • Provide dates of any combination of three or more doses of Diphtheria, Tetanus and Pertussis containing vaccine. One dose must be Tdap vaccine. The last dose of vaccine (DTP, DtaP, DT, Td or Tdap) must have been received within the last 10 years. Tetanus Toxoid is not
  • Provide dates of two MMR’s (measles, mumps and rubella) on or after first birthday.
  • All new admissions under the age of 22 shall show proof of having at least one dose of meningococcal conjugate on or after 16 years of age.

 Documents that are NOT LEGIBLE or are INCOMPLETE WILL be sent back to the student.  We DO NOT keep incomplete records.

 International students must contact International Students and Scholars Office or Health and Counseling Services – Medical Clinic for information regarding their IM submission.

 

Immunization Additional Information

Immunization Action Coalition offers additional multilingual immunization information.

Immunizations offered at Health & Counseling Services - Medical Clinic

  • TDap: $60
  • Measles, Mumps and Rubella: $102
  • Meningococcal Vaccine: $140
  • FREE Flu shots available in the fall to students
  • For travel outside of USA contact us 1 1/2 months prior to departure - CDC Travel Immunization Recommendations
  • Other injections -- medication must include physician's instructions

 

FAX NUMBER TO SEND IMMUNIZATION FORMS TO: 844/256-6402

Please note 217/581-3899 no longer works as a fax number

Related Pages

Contact Information

Health & Counseling Services

Medical Clinic
Eastern Illinois University Human Services Building
600 Lincoln Avenue
Charleston, IL 61920
217-581-3013
health@eiu.edu

Academic Year Hours

8am-5pm

Summer Hours

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


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