Student Influenza Like Illness (ILI)/H1N1 Reporting Form
Northwestern University Health Service
Please use this form after you have completed the "I Think I May Have H1N1 Influenza" Self-Reporting Form or you have spoken with a Health Service clinician. Be sure to note which "Outcome" you have been assigned.
Thank you for providing this information. It will allow the University to monitor for significant cluster outbreaks of illness as well as to help protect those students who may be at high risk of severe complications.