Per State and University policies, proof of certain immunizations are required for attendance. To fulfill this requirement, please complete the two forms below:
To return these forms to the University Health Center, you may:
- Fax them to 812/465-7170
- Email them to firstname.lastname@example.org
- Deliver them in person to the University Health Center, located in the lower level of the Health Professions Building in room HP0091
- Mail them to:
University of Southern Indiana
University Health Center - HP 0091
Evansville, IN 47712
You must comply with the immunization regulations in order to be eligible to enroll at the University of Southern Indiana.
If you have any questions or concerns, please contact us at 812/461-5285. For more information about our Immunization Policy, please see our Immunizations page.
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