Illinois Public Health Act 85-13115 specifies that any student born after January
1, 1957 who is either a first time freshman, a transfer student, or a student reentering
the university after an absence of more than one semester will be required to show
proof of immunity to measles, mumps, rubella, diphtheria, and tetanus. Evidence of
poliomyelitis and tuberculin testing is also required for all international students
and evidence of immunization for these diseases is strongly urged for United States
nationals. Documentation of all immunizations and testing must be verified by a registered
health care provider. A high school health record, if properly noted and certified,
is acceptable documentation for residents of Illinois. Individuals who are not properly
immunized will not be allowed to register. Proof of proper immunization must be on
file prior to registration or the student must have proof at the time of registration.
Proof of required immunization may be obtained at one of the city of Chicago Public
Health clinics for a nominal fee. Students residing outside of the city of Chicago
should contact the Public Health Clinic for their township or county. Students who
wish to prove immunization requirements must complete the Student Immunization Record (pdf) form and send it to:
Chicago State University
Wellness Center Cook Administration Building
Room 131
9501 S. King Drive
Chicago, IL 60628
Illinois high school health records are acceptable if they contain information as
specified in the following standards and are properly certified (all information must
be written in English):
- All dates in a series of immunizations must be included.
- All dates must include month, day and year.
- A physician, school/college/university health service registered nurse or Illinois
Department of Public Health official must certify all dates by signature and include
address.
- Any laboratory or radiological (x-ray) evidence must be accompanied by a copy of the
report showing the student's name and dates.
Only the following exemptions will be accepted and statements must accompany the Certificate
of Immunity form:
Medical contraindications - A written, signed and dated statement from a physician stating the specific vaccine(s)
contraindicated and duration of the medical condition that contraindicates the vaccine(s).
Pregnancy or suspected pregnancy - A signed agreement from a physician stating the student is pregnant or pregnancy
is suspected (give expected date of delivery). After delivery, the student must then
comply with the provisions of this policy as directed by her physician.
Religion exemption - Those claiming exemptions for religious reasons must file Form B-114 (obtained
from the Wellness Center) along with a letter on official church stationary and signed
by the religious administrator.
Students should contact the Wellness Center, Room 131, Cook Administration Building, 773-995-2010 for further information on
how to satisfy State of Illinois immunization requirements. FAX: 773-995-2953
