Shc siu commonpdfsIMMUNIZATION COMPLIANCE FORM 2026

1. Click ‘Get Form’ to open the Immunization Compliance Form in the editor.
2. Begin by filling out the STUDENT INFORMATION section. Enter your First Name, Last Name, Date of Birth, Age, and MI. Make sure to include your Dawg Tag # and the Term Entering SIU.
3. Provide your complete Address, City, State, and Zip Code. Select your preferred method of contact by checking the appropriate box for Phone, Email, or Text.
4. For international students, note that Tuberculosis screening will be conducted upon arrival. Ensure you list your Country of Origin.
5. In the REQUIRED IMMUNIZATIONS section, have a healthcare provider complete this part. They will need to document all necessary vaccinations and dates.
6. Attach any required immunization records as specified in the form instructions before submitting it via fax, email, or mail.

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