Requirements for Medical Students Only
- Print and complete the Admission Health Record for Medical Students (PDF). Instructions for completion are listed on the form.
- Have your healthcare provider complete "PART II: Required Immunizations" in the Admission Health Record or submit copies of previous immunization records per the instructions.
- Review the required immunizations for medical students and associated deadlines which are also listed on the Admission Health Record.
Submit the Admission Health Record and proof of immunizations to:
Northwestern University Health Service
Health Information Management Services
633 Emerson Street
Evanston IL 60208-4000
This address is also listed on the Admission Health Record.
If you have questions concerning the Admission Health Record form, entrance health requirements, immunizations, or related issues, please review the Health 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 Insurance Coverage Selection process, insurance requirements, insurance plan benefits, dependant coverage or related issues, please visit the Insurance Office Web page located within this site or contact the Insurance Office at 847 491-2113, or send an email message to email@example.com.