Health Forms & Immunizations
Ensuring the health and safety of our students is a top priority. By completing all applicable health forms and submitting your up-to-date immunization records, you play a vital role in helping us provide the best care for both you and our campus community.
Required Immunizations
Illinois State law (77 Ill. Adm. Code 694) mandates that students enrolling at a post-secondary education institution must provide proof of immunity or they will be precluded from enrolling in the subsequent term unless the student provides proof of immunity acceptable or is granted a medical exemption or religious exemption by Monmouth College. For more information regarding an exemption, contact Heather Fisher.
| Vaccine | Dosage | Required Intervals Between Doses |
|
Diphtheria, Tetanus, Pertussis (3 or more doses) |
Provide dates of any combination of 3 or more doses (DTP, DTaP, DT, Td, or Tdap). One dose must be Tdap and must have been received within 10 years | Minimum interval between 1st and 2nd dose must have been at least 4 weeks (28 days), with the 3rd dose at least 6 months after the second or last dose of the basic series |
| MMR | Provide documentation of receipt of 2 does on or after first birthday | Minimum interval must have been 4 weeks (28 days) |
| Meningococcal Conjugate (MCV4) | At least 1 dose | On or after 16th birthday |
Accessing Immunization Records:
- Option 1: Contact your medical doctor to retrieve a copy.
- Option 2: Illinois students can register through IDPH to access their immunization records through Vax Verify.
- Option 3: For students without access to their immunization records, contacting their previous high school (if applicable) is encouraged to retrieve a copy. For further assistance, students can reach out to Heather Fisher.
Copies of immunization records or completed immunization forms should be sent to Heather Fisher or faxed to 309-457-2213.
Deadline:
- New Students: The deadline for submitting all applicable health forms and up-to-date immunization records for the fall semester is August 1, and for the spring semester, it’s January 10.
- Current Students: The deadline for submitting up-to-date immunization records is 10 days after classes begin for both fall and spring semesters.
Student Athletes
All student athletes at Monmouth College are required to have an annual physical exam completed by a qualified physician, physician assistant or nurse practitioner. Students will not be allowed to practice until the Monmouth College Medical Examination Form, as well as the Participation Form. Please email ALL athletic forms to Heather Turnquist. Forms may either be sent as a pdf or jpg.
Other Required Athletic Forms:
- All student-athletes must submit Proof of Medical Insurance.
- Only first-time freshman and transfers entering Fall 2022 and beyond must provide Sickle Cell test results.
- If you have a diagnosis of Attention Deficit Hyperactive Disorder (ADHD) and your treatment includes taking a banned stimulant medication, you are also required to complete the NCAA Medical Exception Form.