Immunization Requirements and Medical History

All new students are required to submit a health history and proof of immunization for certain diseases.

Immunization and Health History Form

Please submit the immunization/medical history form linked to above by June 1 if you’re entering the University in the Fall Term (Dec. 1 for Spring Term). A physical exam is not required.

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.

How to Submit the Form

Complete the immunization/medical history form linked to above, then print it out, and email, mail or fax it to:

Elmhurst University Wellness Center
190 Prospect Avenue
Elmhurst, Illinois 60126-3296
Fax: (630) 617-3255
Email: studenthealth@elmhurst.edu

Required Immunizations

• Two doses of MMR (measles, mumps and rubella)
• Meningitis
• Tetanus/Diphtheria/Pertussis (Tdap) within the past 10 years
• Tuberculin skin test (PPD)—required for new international students

Recommended Immunizations

• Hepatitis B
• Varicella (chicken pox) if no history of disease