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Knox College Campus in the Fall

Forms & Physicals


Division of Student Development

2 E. South Street

Galesburg, IL 61401-4999


Fax: 309-341-7077


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Students gather under a yellow umbrella on the Gizmo Patio.

Health Forms

To help us provide the best care possible when you are on campus, it's important for us to have up-to-date medical information about you.

For Incoming Students

We must have your Emergency Medical Information Form and Immunization Form before you can register for classes. Visit your personalized student portal to complete these forms.

For Current Students

Please resubmit your Emergency Medical History Information Form (PDF) and Immunization Form (PDF) if there have been updates since these forms were last submitted to the College.  Forms can be uploaded using Citrix ShareFile. Citrix ShareFile is the method Knox uses for the secure exchange of digital information. Alternatively, you can mail hard copies to Health Services, Knox College, Box K-88, 2 East South Street, Galesburg, IL 61401; or drop them by the Health Services clinic located at Furrow Hall, 175 West Knox Street.

Athletic Physicals

Athletes at Knox College will not be allowed to participate in practice, competitions, or organized off-season training sessions without a yearly physical examination. See when physicals will be offered on campus and learn about insurance and other forms required to be a Prairie Fire athlete.

Knox College and the Sports Medicine/Athletics Training program also provides many resources to handle injuries and/or illnesses suffered by varsity athletes.

Knox College

Printed on Monday, September 16, 2019