Health Center Forms

Alternative Formats

Most of these forms are provided online in PDF format and require Adobe Reader. If you require any of these forms in an alternative format, please contact Beu Health Center at 309/298-1888.

Health History Form
Immunization Record Form
Religious Waiver Form

Student Health Insurance

Benefits at a Glance
Claim Form
Insurance Waiver
Insurance Restatement Form

Vaccine Information Sheets

Hepatitis B Vaccine
Meningococcal Vaccine