First Year Health Forms FAQs

General FAQs about the Electronic Form

+How do I complete my health forms?

    1. Health History Section:
      1. This section be can filled out completely online. In most cases the information needed to complete this form can be obtained with your Parents/Guardians
      2. To view a completed example, click here.

      Consent to Medical Treatment Section:

      1. This section be can filled out completely online. Only a signature is required to complete this form.
      2. To view a completed example, click here
    2. Preliminary TB Testing Section:
      1. If you answer “No” to the first three questions at the top of the form you can electronically sign and submit it. That’s all you need to do. To view a completed example, click here.
      2. However, if you answer “yes” to any of the first three questions you will need to have your healthcare provider fill out the lower half of the form.
      3. You can print out the section, have it completed by your healthcare provider and then return it to Bates Health Services by:
            • Attach it Electronically to the Online TB Section:
                  • – Start a new TB Form online and attach your completed TB section.
                  • – If you don’t have it electronically you can use your phone/tablet to take a snapshot of it and attach that to the online TB section.
    3. COVID-19 Vaccination Status Form: Completing the COVID-19 Form is required. Bates College strongly urges all incoming students to be vaccinated for COVID-19. Students can demonstrate vaccinated status in either of the following ways:
      • provide proof of full vaccination and receipt of a recommended booster dose against COVID-19; or
      • provide proof of one dose of a COVID-19 vaccine since September 2022.

      All students are required to report their COVID-19 vaccination status. Students will report their vaccination status by selecting one of the following on their first-year health forms:

      • proof of full vaccination and receipt of a recommended booster dose against COVID-19; or
      • proof of one dose of a COVID-19 vaccine since September 2022.
      • I am unable to receive recommended doses of the COVID-19 vaccine for medical reasons.
        (Receiving a medical exemption requires approval. For more information about medical exemptions please see below.)
      • I will not receive recommended doses of the COVID-19 vaccine for philosophical reasons.
      • I will not receive recommended doses of the COVID-19 vaccine for religious reasons.

      Based which option you select regarding your current status, you can upload your COVID-19 Vaccination Card by attaching it to this form before submitting it.

      • Attach it Electronically to the Online COVID-19 Vaccination Status Form
  1. Vaccination Form:

This form must be printed and completed by your healthcare provider. Once completed, you can send it to us by one of two methods:

  • Attach it Electronically to the Online Vaccination Form:
        • – Start a new Vaccination Form online and attach your completed Vaccination Form.
        • – If you don’t have it electronically you can use your phone to take a snapshot of it and attach that to the online Vaccination Form.


+I missed the July 1st deadline. What should I do?

  • First, take a deep breath
  • Second, complete your forms as quickly as possible
  • If you need help don’t hesitate to contact Health Services either by email, healthservices@bates.edu, or by calling 207-786-6199.


+What information will I need to complete the Health History Section?

  • Your Personal Contact Information
  • Place of Birth
  • Parent/Guardian Contact Information
  • Personal Health History, including any chronic medical conditions, allergies, medications, and surgeries
  • Primary Care Physician



+Can I print the completed electronic health form?

  • Yes, when you click on “Finish” to complete the form you will have an option to “Show” the document. You can then print it.
  • You will also receive a copy of the form in your email so you can view it and print it after completing the form


+What if I am under 18 years old?

  • You are required to have a Parent/Guardian fill out the Electronic Health Form.
      • There will be two roles to complete:
        • For the “Student” Role, the Student’s name and Bates Email address should be entered.
        • For the “Parent/Guardian” Role, the name of the Parent/Guardian and their associated email address should be entered.***The form will be sent to the email address used for the Parent/Guardian***

    The student can first fill in all the information in the form, sign it and it will be automatically sent to the Parent/Guardian’s email address.

    • The Parent/Guardian can sign the form and it will be sent to Bates Health Services.


TB Testing Form

+Is it possible to print the TB form so I can send it to my PCP?

Yes, you can print the form using one of the following approaches:


+Once my physician completes the bottom section, how do I send it to Bates Health Services?

  • You can print out the form, have it completed by your healthcare provider and return it to Bates Health Services by:
        • Attach it Electronically to the Online TB Form:
              • – Start a new TB Form online and attach your completed TB form.
              • – If you don’t have it electronically you can use your phone/tablet to take a snapshot of it and attach that to the online TB Form.


    Vaccination Form

    +Once I have my records from my healthcare provider, how do I send it to Bates Health Services?

        • Attach it Electronically to the Online Vaccination Form:
              • – Start a new Electronic Vaccination Form online by using the link on the main site and attach your Vaccination records to the Form. Within the electronic form you will see an icon that you can select to upload your documents. .
              • – If you don’t have your Vaccination records electronically you can use your phone/device to take a snapshot/scan of it and attach that to the online Vaccination Form.