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Forms (PDFs)

Download Health Center forms in PDF format.

First Year Student Forms

  • Physical Exam Form
    Please return this form to the Bates Health Center after it has been completed by your primary care provider. If you are unable to schedule a physical to meet the July 1 deadline, please return your completed forms as soon as possible. All forms must be received by July 31.
  • Immunization Form
  • Health History Form
    This is a fillable PDF form that you may complete online before printing and mailing back to the Bates Health Center.
  • Preliminary TB Assessment 

Athletic Participation Forms



  • Contact Us

  • Open 24/7 when school is in session.

    Medical Emergencies: Call x6111. Off campus call 911. Bates EMS will respond immediately to emergencies on campus.

    We're located between 2 hospitals: St. Mary’s Regional Medical Center, Campus Ave, Lewiston & Central Maine Medical Center, Main St, Lewiston.