Dear Student:

Illinois Public Health Act 85-1315 specifies that any student born on or after January 1, 1957, and registered for six hours or more on campus, is required to show proof of immunizations. For you to continue course work at Chicago State University, you must show documented proof of the following immunizations indicated below.

REQUIRED PROOF

___	Tetanus (Td) Booster every 10 years.

___	Measles, Mumps, Rubella (MMR)-documentation of 2 live doses of vaccine or proof of immunity by titer. Titer must include full laboratory parameters.

STRONGLY RECOMMENDED

___ Tuberculin skin test (PPD/Mantoux test) required annually for residence hall students and some academic majors. A past positive TB test result requires a chest x-ray with a copy of the radiology report bearing your name. This should be submitted to the Wellness/Health Center.

___	Hepatitis B Series or documented proof of immunity.

___ Varicella vaccine or documented proof of immunity.

___	Meningococcal vaccine( One dose-preferably at entry into college for freshmen living in dormitories or residence halls who wish to reduce their risk of meningococcal disease.)

Data must include (MONTH, DAY AND YEAR). All dates in a series must be included. ALL INFORMATION MUST BE WRITTEN IN ENGLISH. In order to be compliant with this legislation, ALL information must be submitted in its entirety. If you have previously met these requirements, please disregard this notice.

Required immunizations are available in the Wellness/Health Center for a nominal fee. The tuberculin skin test (PPD)is also available. Students with proof of enrollment under the Student Resource Injury and Sickness Insurance Plan, may obtain required immunizations under the plan. You may see your primary health care provider or the Chicago Board of Health for immunizations. Before going to a Chicago Department of Public Health clinic, you must call for an appointment. Remember, when obtaining dated immunizations take a copy of your immunization records, and the reverse side of this letter for completion by the provider. Please make two (2) copies of your health data. Keep one copy for yourself and submit the other copy to the Wellness/Health Center, by mail or fax (see above for address/fax).

REMEMBER: Future registration and matriculation at Chicago State University will be in jeopardy if you do not comply with this requirement.