Health Records and Immunizations

Health Records and Immunizations

  • All full-time (first year and transfer) students are required to complete the following forms on the Lake Forest Student Health Patient Portal: medical history, immunization history, TB questionnaire and Consent to Treat (if under the age of 18 prior to the start of semester). Asigned/stamped copy of your immunization records must be uploaded into the portal for dates to be verified. It is important that you complete all necessary forms with proof into the Lake Forest Student Health Portal by July 15, 2020. If forms are not submitted by July 15, students may be subject to a late fee of $100. Students not in compliance with the immunization requirements during their first term of attendance are restricted from registering for subsequent terms until compliance is obtained. 

    Students that are seeking a religious exemption must complete the religious exemption certificate and submit it with your completed Health History Form. 

    Access to the patient portal will become available on June 1, 2020. Use your College issued username and password to log-in.

A pre-entrance physical is strongly recommended but not required by Lake Forest College.  The State of Illinois Department of Public Health requires for college entrance a record of two measles/mumps/rubella, and diphtheria/tetanus immunizations. Lake Forest College policy requires immunization for meningococcal meningitis after the age of 16 prior to the start of classes. Students who remain not in compliance will not be able to register for second semester classes. A $100 late fee may apply. All exemptions (as defined by the State of Illinois, medical, age and religious) from the policy must be validated by Health Services. Requests for exemption must be initiated by the student and completed by August 1 for fall semester students and by January 15 for spring semester students. It is important to note that exemption from immunization may result in quarantine of non-immunized students off grounds in the event of a contagious disease outbreak.

In the event of noncompliance and withdrawal, readmission will not be granted until the Medical History and Immunization Record has been properly executed. If a student leaves the College and returns after a period of one year has elapsed, the Health History Report must be updated by reporting to Health Services for reevaluation. The record is considered a permanent Health Services file. When a student leaves the College – graduated, transferred, withdrawn – the record will be kept for no fewer than five years. The record is confidential and information will only be released with the written permission of the student.

Tuberculosis Screening

Prior to arrival on campus, all incoming students must complete the tuberculosis screening questionnaire, through the Lake Forest Student Health Patient Portal. Based on the screening questionnaire, TB testing may be required, no earlier than 6 months prior to arrival on campus and prior to registration for second semester. 

Countries or territories listed below that have a high incidence of active TB disease: Angola, Azerbaijan, Bangladesh, Belarus, Botswana, Brazil, Cambodia, Cameroon, Central African Republic, Chad, China, Congo, Democratic People’s Republic of Korea, Democratic Republic of the Congo, Ghana, Guinea-Bissau, India, Indonesia, Kazakhstan, Kenya, Lesotho, Liberia, Malawi, Mozambique, Myanmar, Namibia, Pakistan, Papua New Guinea, Peru, Philippines, Republic of Moldova, Russian Federation, Sierra Leone, Somalia South Africa, South Africa, Swaziland, Tajikistan, Thailand, Uganda, Ukraine, United Republic of Tanzania, Uzbekistan, Viet Nam, Zambia, Zimbabwe.

Source: World Health Organization 2016-2020.    http://www.who.int/tb/publications/global_report/gtbr2017_annex2.pdf?ua=1

Parent/Guardian Consent to Treat a Minor

We require Parental or Guardian Consent to treat any student who is under the age of 18. The purpose of the consent is to allow for: 1) The sharing/exchange of relevant medical information between Lake Forest College representatives (officials, faculty, staff), Lake Forest College Health and Wellness Center, and, for the purpose of diagnosis and/or treatment, other medical providers. Each of the above individuals or entities is also authorized to communicate and discuss health matters with the parents/guardians/emergency contacts of my minor child. 2)The transportation of my minor child, under appropriate circumstances, to area hospitals for diagnosis and treatment. 3.) The provision, by Lake Forest College Health and Wellness Center, of such diagnostic, therapeutic, voluntary immunization, and operative procedures as may be deemed necessary for my minor child. The consent form can be uploaded to the Lake Forest Student Health Patient Portal.

Forms

Required Immunizations
Religious Exemption
Tuberculosis Testing Record
Consent to Treat a Minor
HIPAA Notice