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Immunization and Medical Records Upload
If your health care provider uses an online platform (e.g. MyChart), you can download your immunization records from there and then upload them with this form or scan a hard copy of your immunizations to your computer for uploading
You may upload an additional
Other Medical History Document
to provide a more complete medical history (optional)
The supported file types for uploading are: PDF, Word, Excel
If you cannot provide your immunization at this time, you can either:
Fax them to (630) 829-6035, or
Mail them to Student Health Services, 5700 College Road, Krasa Student Center Room 116, Lisle, IL 60532
Important -
due to security and privacy concerns, immunization records sent as email attachments will not be accepted; the email will be immediately deleted without opening and your immunization records will still be listed as incomplete
.
Name
*
First Name
*
Last Name
*
Student ID Number
*
Your seven-digit student ID number. Do not include the "B"
Which campus does the student attend?
*
Lisle
Mesa
Immunization Records Upload
No File Chosen
File uploads may not work on some mobile devices.
Other Medical History Documents Upload
No File Chosen
File uploads may not work on some mobile devices.
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