Illinois immunization form 2026

1. Click ‘Get Form’ to open the Illinois Immunization Form in our editor.
2. Begin by filling out the Student Information section. Enter your Last Name, First Name, Middle Initial, and Date of Birth in the specified format (MM/DD/YYYY).
3. Indicate if you are an International Student by selecting 'Yes' or 'No' and provide your Student Reference Number if applicable.
4. Enter your email address and read the authorization statement. Ensure you understand that all submitted documents become property of DePaul University.
5. Sign and date the form in the designated areas, ensuring that both fields are completed accurately.
6. Choose either Option A or Option B for immunization records. If using Option A, attach a copy of your Official Immunization Records. If using Option B, leave it for your healthcare provider to complete.
7. If completing Option B, ensure your physician fills out all required immunizations and signs off on the form.

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