University of Illinois Chicago
Search
University of Illinois Chicago
Office of the Registrar
  • Current Students
    • Registration Services
    • Calendars
    • Financial Matters
    • Student Records
    • Transcripts
  • Former Students
    • Calendars
    • Student Records
    • Transcripts
    • Campus Policies and Student Notifications
  • Faculty & Staff
    • Course Management and Academic Space Scheduling
    • Faculty Self-Service
    • Calendars
    • Classes
    • Grades
    • Registration
    • UIC Student Records Policy
  • Prospective Students
  • EM Staff
  • Textbook Adoption
  • UIC.edu
  • Campus Map

Office of the Registrar

View Menu Down arrow icon
  1. Office of the Registrar
  2. Student Records
  3. Authorization for Disclosure of Confidential Immunization Record Information

Authorization for Disclosure of Confidential Immunization Record Information

Authorization for Disclosure of Confidential Immunization Record Information

Students with a NetID

Continue to the online form

Students without a NetID

Download our form as a PDF file

Quick Links

Registration Services
CalendarsFinancial Matters
Student RecordsTranscriptsCampus Policies
Registration FAQFERPA

Student Records

Back to main content
University of Illinois Chicago

UIC Office of the Registrar

  • Current & Former Students
  • UIC Faculty & Staff
  • Contact Us!
  • Sitemap

Contact

Office of the Registrar, MC 018

Suite 1200, Student Services Building
1200 West Harrison Street, Chicago, IL 60607-7161
https://registrar.uic.edu/contact/
Phone: (312) 996-8600
registration@uic.edu

Records

Phone: (312) 996-4381
records@uic.edu
  • UIC.edu
  • Academic Calendar
  • Athletics
  • Campus Directory
  • Disability Resources
  • Emergency Information
  • Event Calendar
  • Job Openings
  • Library
  • Maps
  • UIC Safe Mobile App
  • UIC Today
  • UI Health
  • Veterans Affairs
  • Report a Concern
Powered by Red 3.0.51
© 2025 The Board of Trustees of the University of Illinois | Privacy Statement
  • University of Illinois System
  • Urbana-Champaign
  • Springfield
  • Chicago