Immunization Requirements for Physician Assistant Students
Requirements for Physician Assistant Students Only
- Print and complete the Student Immunization Form for Physician Assistant Students (PDF).
- General instructions for completion are listed on page 1 of the Student Immunization Form.
- Immunization specific instructions are listed on page 2 of the Student Immunization Form.
Submit the Student Immunization Form and proof of immunizations to:
All forms must be submitted to the Evanston Campus Northwestern University Student Health Service at:
Northwestern University Student Health Service
Health Information Management Services
633 Emerson Street
Evanston IL 60208
Please refer to page one of the Student Immunization Form for instructions on how to submit the form to the Health Information Management Services department.
If you have questions concerning the Student Immunization Form, immunization requirements, immunizations, or related issues, please review the Immunization Requirement Frequently Asked Questions, or call Health Information Management Services of the Evanston Campus Health Service at 847.491.2203, or send an email message to firstname.lastname@example.org.
For questions concerning the student health insurance coverage selection process, insurance requirements, insurance plan benefits, dependent coverage or related issues, please visit the Student Health Insurance Office page (phone: 847.491.3621 or email: email@example.com).