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Immunization Requirements and Medical History

All new students are required to submit a health history and proof of immunization for certain diseases. Our immunization and health history form can be submitted electronically using the link below.

IMMUNIZATION AND
HEALTH HISTORY FORM

A physical exam is not required.

To submit the immunization/medical history form, you will be prompted to log in with either your Elmhurst eNumber or via Microsoft or Google (please see more instructions in the FAQ section below).

Required Immunizations

  • MMR (measles, mumps and rubella)—two doses required after 1 year of age
  • Meningitis (last dose must have been received at age 16 or older; not necessary for students 22 years and older)
  • Tetanus/Diphtheria/Pertussis (Tdap) within the past 10 years
  • Tuberculin skin test (PPD)—required for new international students

Recommended Immunizations

  • Hepatitis B
  • Varicella (chickenpox) if no history of the disease

Frequently Asked Questions

Start by clicking the “Immunization and health history form” button above on this page. Then:

  • If you are a current student or admitted applicant, click the Okta (blue “O”) icon to securely log in. Use your eNumber and password to access the form, fill it in and submit it electronically.
  • If you are not a student or admitted applicant, please log in using your personal Gmail or Microsoft account to begin this process. You will need to provide the student’s information to submit the form.
  • Contact your former high school and have them email or fax us a copy.
  • Contact your former four-year college/university and have them email or fax us a copy. (Note: two-year colleges do not require this record.)
  • Contact your primary care physician and have them email or fax us a copy.

Email: studenthealth@elmhurst.edu

Fax: (630) 617-3255

If you can’t find your immunization record, you will need to be re-vaccinated or have a blood test to confirm your immunity. Vaccines, TB skin tests and blood tests are available in the Wellness Center for a fee.

Yes. Fill in the religious exemption portion of the immunization and health history form. (Follow the instructions in the “How do I submit the form online?” section above to access the form.)

Please note: You will still need to provide Elmhurst with the health history section of the immunization and health history form, even if you request an exemption.

The Wellness Center

Niebuhr Hall, 010

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