Health Forms

Health Records

You are required to have updated health records on file in Health Service. These must be documented on our forms in order to meet Illinois State Law. All health forms are due by January 1.

For new incoming Chicago Campus students, these two forms include:

Please completely fill out the forms. Please note that you need to allow time to schedule and complete a physical exam and that some of the forms need to be signed by your licensed physician.

Please send completed forms to:
                       820 N. LaSalle Blvd. 
Attn: Health Service Department Smith 2
Chicago, IL 60610

Fax: (312) 329-4419
               
 
If you have specific questions about these forms, details can be found on the Frequently Asked Questions page.
    
For information or questions regarding Health Insurance, visit the Health Insurance page
    

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