11/30/2023
All SIUE faculty, staff, and students who have, or plan to have, regular contact with live vertebrate laboratory or wild animals, must complete a medical history evaluation, including immunization history.
The majority of Part A should be filled out by your physician after they have reviewed the Part B form that you filled out. ONLY Part A will be returned to our office.
It may be beneficial to bring the Letter of Explanation to your physician, so they are clear on what is needed during the appointment.
All these forms can be found on our website here.
Group (Subgroup): Students, Faculty
Tag(s): Animal Care & Use
Southern Illinois University Edwardsville is authorized to operate as a postsecondary educational institution by the Illinois Board of Higher Education.