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Forms & Physicals

Contact

Division of Student Development

2 East South Street

Galesburg, IL 61401

309-341-7222

Fax: 309-341-7077

dsd@​knox.edu

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Flowers bloom in the Prairie Plot on campus.

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 Immunization Form, and Tuberculosis Screening Questionnaire before you can register for classes. Visit your personalized student portal to complete these forms.

The Illinois Department of Public Health requires that all students who enroll at a post-secondary educational institution submit proof of required immunizations (Diphtheria, Tetanus, Pertussis; Measles, Mumps, Rubella; Meningococcal), and that any student who does not provide such proof be precluded from enrolling for subsequent terms. (Immunization Code, Section 694.100)

  • COVID-19 Vaccination: Knox College strongly encourages all students, faculty and staff to be fully up to date with their COVID-19 vaccinations and annual flu shots, including booster doses when eligible

For Current Students

Please resubmit your Immunization Form (PDF) if there have been updates since it was last submitted to the College. 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

https://www.knox.edu/offices/health-and-counseling-services/health-services/forms-and-physicals

Printed on Wednesday, April 24, 2024