Skip to main content
Knox Together: COVID-19 Plans & Policies Visitor Policy Give Now
George Davis Hall in the early evening.

Forms & Physicals


Division of Student Development

2 East South Street

Galesburg, IL 61401


Fax: 309-341-7077


Submit Your Deposit
Purple pens given to campus visitors

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, 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 requires the Covid-19 vaccination as well as a booster dose if due, subject to religious or medical exemptions. The following vaccinations are accepted:
    • Moderna
    • Pfizer-BioNTech
    • Johnson & Johnson
    • World Health Organization approved vaccines

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, March 20, 2023