Eiu immunization form 2026

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  1. Click 'Get Form' to open the EIU Immunization Form in our editor.
  2. Begin by entering your personal information. Fill in your name, E# (student ID), birthday, and gender in the designated fields.
  3. Indicate the term you are entering EIU by selecting the semester and year from the dropdown options.
  4. Ensure that a physician or nurse completes the verification section. They must provide their name, signature, address, telephone number, and date of completion.
  5. In the immunizations section, input the month, day, and year for each required vaccine: Diphtheria/Tetanus and MMR. Make sure to follow the specific requirements for each vaccine as outlined on the form.
  6. If applicable, have a parent or legal guardian sign where indicated if you are under 18 years old at arrival.

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