myIIT Portal

    Student Health
             &
    Wellness Center

    Main Campus
    IIT Tower
    10 W. 35th St.
    3rd Fl.
    Chicago, IL 60616

    Downtown Campus
    By Appointment Only
    565 W. Adams St.
    6th Fl., Room 656
    Chicago, IL 60661-3601


    Office Hours During the
    Fall and Spring semester


    Downtown Campus
    By Appointment Only
    Monday and Wednesday
    8:30 - 5pm

    Main Campus

    Monday and Friday
    8:30 - 5pm.

    Tuesday, Wednesday
    and  Thursday
    8:30 -7pm
        
    Saturday
    8:30 -12:30pm

    Phone:
    312.567.7550
    Fax:
    312.567.5702

    Forms

    Required for New Students

    1. Immunization Verification Form:
      - This form is expected to be submitted by the first week of class.
      -May submit by e-mail in .pdf format to student.health@iit.edu; you will receive a confirmation e-mail with further instruction, if necessary.

    Health Appointments
    1. General Medical Form
    2. Women's History Form
    3. STI Form

    Insurance and Other Forms (Waiver and Enrollment forms may be found under the insurance tab)
    1. Medical Record Release Form: To release or obtain a copy of your immunization records and/or any medical records, please complete this form and mail or fax it to us. We will mail or fax your records within 3-5 business days of receiving the completed form and payment.
    2. Insurance Enrollment or Waiver Form: All students who want to enroll or waive the student health insurance plan need to fill out this form. This link will also allow you to enroll dependants. (Not ALL forms of health insurance are accepted)

      If you are a part-time student and would like to enroll in the student health insurance plan, please send an email to student.health@iit.edu. Your email should include your date of birth and student ID number.
    3. Fall Only Health Insurance Form: All students who are graduating or leaving the university and would no longer like the Student Health Insurance coverage for the Spring semester should complete this form.
    4. Prescription Drug Claim Form: Students needing to submit a claim for a prescription to the Insurance Company should fill out this form and mail it along with the pharmacy receipt to the address on the form.


    Note: All Forms are in .pdf format. Click here to obtain Adobe PDF file reader.
    Last modified: 09/15/2014 10:44:57

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