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Illinois immunization form 2026
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- Click ‘Get Form’ to open the Illinois Immunization Form in our editor.
- 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).
- Indicate if you are an International Student by selecting 'Yes' or 'No' and provide your Student Reference Number if applicable.
- Enter your email address and read the authorization statement. Ensure you understand that all submitted documents become property of DePaul University.
- Sign and date the form in the designated areas, ensuring that both fields are completed accurately.
- 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.
- If completing Option B, ensure your physician fills out all required immunizations and signs off on the form.
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