{"id":2540,"date":"2017-04-28T14:34:48","date_gmt":"2017-04-28T18:34:48","guid":{"rendered":"https:\/\/www.bates.edu\/health-services\/?page_id=2540"},"modified":"2025-06-06T06:26:05","modified_gmt":"2025-06-06T10:26:05","slug":"health-service-forms-agerestricted","status":"publish","type":"page","link":"https:\/\/www.bates.edu\/health-services\/health-service-forms-agerestricted\/","title":{"rendered":"Health Services Forms"},"content":{"rendered":"<p><span style=\"font-size: large;\">Students younger than 18 years of age are <b>required<\/b> to have their Parent\/Guardian sign these forms, as well as the student. <\/span><\/p>\n<p><span style=\"font-size: large;\">Although it is not required to have a physical exam prior to attending Bates, the following forms must be submitted by one of our approved methods as stated below before the <b>July 1st<\/b> deadline. The information you provide will be reviewed by Health Services staff and scanned into your secure Bates \/ CMMC electronic medical record. Your health information is confidential and cannot be released to anyone without your written consent.<\/span><\/p>\n<h3>Guidelines for helping you complete the required Health Forms.<\/h3>\n<ul>\n<li>Review the <a href=\"https:\/\/www.bates.edu\/health-services\/health-forms-faqs\/\" target=\"_blank\" rel=\"noopener noreferrer\">Health Forms FAQs<\/a> if you have additional questions about the process.<\/li>\n<\/ul>\n<div class=\"btn-wrap\">\n\t<div class=\"btn-action\" id=\"step-1-health-history-consent-to-medical-treatment-and-tb-screening-form\">\n\t\t<h3 class=\"btn-title\">Step 1: Health History, Consent to Medical Treatment, and TB Screening Form<\/h3>\n\t\t<div class=\"btn-arrow\"><\/div>\n\t<\/div>\n\t<div class=\"btn-content\">\n<ul>\n<li>There will be two roles to complete:\n<ul>\n<li>For the &#8220;Student&#8221; Role, the Student&#8217;s name and Bates Email address should be entered.<\/li>\n<li>For the &#8220;Parent\/Guardian&#8221; Role, the name of the Parent\/Guardian and their associated email address should be entered.<b>***The form will be sent to the email address used for the Parent\/Guardian***<\/b><\/li>\n<li>The student can first fill in all the information in the form, sign it and it will be automatically sent to the Parent\/Guardian&#8217;s email address.<\/li>\n<li>The Parent\/Guardian can sign the form and it will be sent to Bates Health Services.<\/li>\n<\/ul>\n<p><!--<b>*Verify Your Email Address<\/b><\/ul>\n\n\n\n\n<ul>\n \t\n\n<li> When you start filling out this form you will be asked to verify your email address\n \t\n\n<li> A security code will be sent to the email address you provide when you initially start the process.\n \t\n\n<li> The security code, or link that is also included in the email, will allow you to continue to edit your form.<\/ul>\n\n\n<\/ol>\n\n\n--><\/li>\n<\/ul>\n<p><h5 class=\"js-foldaway-sections foldaway-section-header\" >\n\t<a href=\"#\"><span>+<\/span>Health History Section<\/a>\n\t<\/h5><div class=\"foldaway-section foldaway-inner-yellow\"><b><i>**Health History Section**<\/i><\/b><\/p>\n<ol>\n<li style=\"list-style-type: none;\">\n<ol>\n<li>When completing this section you will be asked for basic health related information. Below are some examples of the types of information required:\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>\n<li>Your Personal Contact Information<\/li>\n<li>Parent\/Guardian Contact Information<\/li>\n<li>Emergency Contact Information for at least one person<\/li>\n<li>Place of Birth<\/li>\n<li>Bates Email Address<\/li>\n<li>Family Medical history<\/li>\n<li>Personal Medical history<\/li>\n<li>Medications<\/li>\n<li>Hospitalizations<\/li>\n<li>Primary Care Physician<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p><!--\n \t\n\n<li>If you are deciding to waive Bates Health Insurance you will also need a copy of your parent \/ guardian's insurance card.<\/li>\n\n\n \t\n\n<li>You can send it to us by one of two methods:<\/li>\n\n\n<\/ul>\n\n\n<\/li>\n\n\n<\/ol>\n\n\n<\/ol>\n\n\n<b>Attach it Electronically<\/b> to the online Upload Insurance Card Form:\n\n\n<ul>\n \t\n\n<li> \tSelect the Uploading Insurance Card Form online by using the link below (Health Services - Uploading Documents \/ Forms section) and attach a picture of your insurance card to the Form. Within the electronic form you will see an icon that you can select to upload your documents.<\/li>\n\n\n<\/ul>\n\n\n<b>Mail to:<\/b>\n\n\n<ol>Bates Health Services\n31 Campus Ave.\nLewiston, ME 04240<\/ol>\n\n\n\n\n<ul>\n\n\n<ul>--><\/p>\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>\n<li>Checkout our FAQs for more information on what types of information you will need to complete this section.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p><a href=\"https:\/\/www.bates.edu\/health-services\/health-forms-faqs\/#general-faqs-about-the-electronic-form\" target=\"_blank\" rel=\"noopener noreferrer\">FAQs for Health Information<\/a><\/p>\n<p><\/div><br \/>\n<h5 class=\"js-foldaway-sections foldaway-section-header\" >\n\t<a href=\"#\"><span>+<\/span>Consent to Medical Treatment Section<\/a>\n\t<\/h5><div class=\"foldaway-section foldaway-inner-yellow\"><b><i>**Consent to Medical Treatment Section**<\/i><\/b><\/p>\n<ol>\n<li>This section only requires a signature.<\/li>\n<\/ol>\n<p><\/div><br \/>\n<h5 class=\"js-foldaway-sections foldaway-section-header\" >\n\t<a href=\"#\"><span>+<\/span>TB Screening Section<\/a>\n\t<\/h5><div class=\"foldaway-section foldaway-inner-yellow\"><b><i>**TB Screening Section**<\/i><\/b><\/p>\n<ol>\n<li>When completing this section, if you answer <b>&#8220;No&#8221;<\/b> to all five questions at the top of the form you can electronically sign and submit it. That&#8217;s all you need to do.\n<ul>\n<li>However, if you answer <b>&#8220;yes&#8221;<\/b> to any of the first five questions you will need to have your healthcare provider fill out the TB Testing form.\n<ul>\n<li>If you selected <b>&#8220;yes&#8221;<\/b> as noted above, there will be a viewable link you can click on to view\/print the TB Testing form and once your healthcare provider has completed their part you can send it to us by:<br \/>\n<b>Attach it Electronically<\/b> to the online Upload TB Form under the Health Forms &#8211; Uploading Documents \/ Forms section:<\/p>\n<ul>\n<li>Select &#8220;Upload TB Form&#8221; and attach your completed Signed TB form.<\/li>\n<li>If you don&#8217;t have it electronically you can use your phone to take a snapshot of it and attach that to the online Upload TB Form.<\/li>\n<li><a href=\"https:\/\/youtu.be\/9BqJ06au5KA\" target=\"_blank\" rel=\"noopener noreferrer\">Check out our &#8220;How To Attach the TB Testing Form&#8221; video for further help.<\/a><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n<p><\/div><\/div>\n<\/div>\n<br \/>\n<!--[btn ttl= \"Step 2: COVID-19 Vaccination Status Form \/ Vaccination Card\" color=\"#42bcf4\"]\nThe next step involves completing the <b><i>COVID-19 Vaccination Status Form<\/i><\/b> and uploading a picture of your <b><i>COVID-19 Vaccine Card<\/i><\/b>.\n\n\n<ol>\n \t\n\n<li>Complete the COVID-19 Vaccination Status Form below.<\/li>\n\n\n \t\n\n<li>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.\n\n\n<ol type=\"1\">\n \t\n\n<li style=\"list-style-type: none;\">\n\n\n<ol type=\"1\">\n \t\n\n<li><b>Attach it Electronically<\/b> to the online \"COVID-19 Vaccination Status Form below\".<\/li>\n\n\n<\/ol>\n\n\n<\/li>\n\n\n<\/ol>\n\n\n[\/btn]--><br \/>\n<div class=\"btn-wrap\">\n\t<div class=\"btn-action\" id=\"step-2-vaccinations-form\">\n\t\t<h3 class=\"btn-title\">Step 2: Vaccinations Form<\/h3>\n\t\t<div class=\"btn-arrow\"><\/div>\n\t<\/div>\n\t<div class=\"btn-content\">The Final step involves completing the <b><i>Vaccinations Form<\/i><\/b>.<\/p>\n<ol type=\"1\">\n<li style=\"list-style-type: none;\">\n<ol type=\"1\">\n<li style=\"list-style-type: none;\">\n<ol>\n<li>This form <b>requires<\/b> both the Student and Parent\/Guardian&#8217;s Signature on the printed form.<\/li>\n<li>You will first need to obtain a copy of your Vaccinations from your healthcare provider.<\/li>\n<li>Once you have your Vaccination records you can send it to us by:\n<ol type=\"i\">\n<li><b>Attach it Electronically to the online &#8220;Upload Vaccinations Form&#8221; under the &#8220;Health Forms &#8211; Uploading Documents \/ Forms section&#8221;:<\/b>\n<ul>\n<li>Start a new Electronic Vaccination Form online by using the link below 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.<\/li>\n<li><a href=\"https:\/\/youtu.be\/iyq0XfXk3UE\" target=\"_blank\" rel=\"noopener noreferrer\">Check out our &#8220;How to Attach Vaccination Records&#8221; video for further help.<\/a><\/li>\n<li><a href=\"https:\/\/www.bates.edu\/health-services\/files\/2024\/06\/Bates-Immunization-Chart-Parent_Guardian-Final-signed.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Check out this example of the Vaccination Records Form for additional help.<\/a><\/li>\n<li>If you don&#8217;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.<\/li>\n<\/ul>\n<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n<p><\/div>\n<\/div>\n<\/p>\n<h1 id=\"Health Forms - Electronic Version\">Health Forms &#8211; Electronic Version<\/h1>\n<p><center><\/p>\n<p><!-- 2nd Row Below --><\/p>\n<p><!-- 3rd Row Below\n\n\n<td width=\"15\"><CENTER><font size=4>3<\/Center><\/font><\/td>\n\n\n\n\n<td width=\"235\"><CENTER><font size=4><a href=\"https:\/\/na2.docusign.net\/Member\/PowerFormSigning.aspx?PowerFormId=aea1f390-2cf4-4fbd-a506-baf9d03e35f2\" target=\"_blank\" rel=\"noopener noreferrer\">TB Screening Form<\/a><\/Center><\/font><\/td>\n\n\n\n\n<td width=\"1050\"><font size=4>\n\n\n<ul>\n \t\n\n<li>If you answer <b>\"No\"<\/b> to the first five questions at the top of the form you can <u>electronically sign and submit it<\/u>.<\/li>\n\n\n \t\n\n<li>Any <b>\"YES\"<\/b> answer <u>requires your physician to complete the bottom portion of the printed form<\/u> and use on of the two methods mentioned above for turning it in to Bates Health Services.<\/li>\n\n\n \t\n\n<li><a href=\"https:\/\/www.bates.edu\/health-services\/files\/2018\/05\/Bates-Electronic-Health-Forms-TB-Form-5.10.18.mp4\" target=\"_blank\" rel=\"noopener noreferrer\">Check out this Step by Step Video Guide<\/a><\/li>\n\n\n<\/ul>\n\n\n<\/font><\/td>\n\n\n<\/tr>\n\n\n<!-- 4th Row Below --><br \/>\n<!--\n\n\n<tr>\n\n\n<td width=\"15\"><CENTER><font size=4>2<\/Center><\/font><\/td>\n\n\n\n\n<td width=\"235\"><CENTER><font size=4><a href=\"https:\/\/www.bates.edu\/health-services\/immunizations\/\" target=\"_blank\" rel=\"noopener noreferrer\">Vaccination Form<\/a><\/Center><\/font><\/td>\n\n\n\n\n<td width=\"1050\"><font size=4><u>Complete and sign the Vaccination Form<\/u> and and use on of the two methods mentioned above for turning it in to Bates Health Services by August 1, 2021. \n\n<u>Acceptable proof of Vaccination includes:<\/u> a copy of your high school Vaccination record or a copy of the original Vaccination certificate. <bold>Note:<\/bold> Only proof of vaccination or proof of immunity by blood titer are acceptable.\n\nPlease note the <i>Vaccination Form also includes recommended vaccines<\/i> prior to your matriculation to Bates. <u>We strongly recommend<\/u> you receive these as well. Additional information regarding meningitis and college students is available from the <a href=\"https:\/\/www.cdc.gov\/meningococcal\/about\/risk-community.html\" target=\"_blank\" rel=\"noopener noreferrer\">Center for Disease Control and Prevention<\/a>.<\/td>\n\n\n<\/font><\/tr>\n\n\n--><\/p>\n<table>\n<tbody>\n<tr>\n<td width=\"15\"><center><strong><span style=\"font-size: large;\"> Steps<\/span><\/strong><\/center><\/td>\n<td width=\"235\"><center><strong><span style=\"font-size: large;\">Required Form<\/span><\/strong><\/center><\/td>\n<td width=\"1050\"><center><strong><span style=\"font-size: large;\"> Instructions<\/span><\/strong><\/center><\/td>\n<\/tr>\n<tr><!-- 1st Row Below --><\/tr>\n<tr>\n<td width=\"15\"><center><span style=\"font-size: large;\">1<\/span><\/center><\/td>\n<td width=\"300\"><center><span style=\"font-size: large;\"><a href=\"https:\/\/www.bates.edu\/health-services\/health-history-consent-and-tb-form-2\/\" target=\"_blank\" rel=\"noopener noreferrer\">Health History, Consent to Medical Treatment and TB Form<\/a><\/span><\/center><\/td>\n<td width=\"1050\">\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>Please complete the form in one session, if you exit or quit out of the session you could lose the information already entered. Here are some examples of the types of information you will need to complete this form:<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>\n<li><b>Place of Birth, Emergency Contact Information, Family Health History<br \/>\n<\/b><\/li>\n<li><b>Personal Health History, Medications and Hospitalizations.<br \/>\n<\/b><\/li>\n<li><b>Have you ever received treatment for latent TB?<\/b><\/li>\n<\/ul>\n<\/li>\n<li><a href=\"https:\/\/www.bates.edu\/health-services\/files\/2022\/05\/Bob-Bobcat-Health-History-Consent-and-TB-Form-.pdf\" target=\"_Blank\" rel=\"noopener noreferrer\">Check out this example of the Health History, Consent to Medical Treatment, and TB Form<\/a><\/li>\n<li><a href=\"https:\/\/youtu.be\/U5icu2xhYAw\" target=\"_blank\" rel=\"noopener noreferrer\">Check out our Step by Step Video Guide for additional help<\/a><\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<tr>\n<!--\n\n<td width=\"15\"><center><span style=\"font-size: large;\">2<\/span><\/center><\/td>\n\n\n \n\n<td width=\"300\"><center><span style=\"font-size: large;\"><a href=\"https:\/\/batescollege.na2.documents.adobe.com\/public\/esignWidget?wid=CBFCIBAA3AAABLblqZhBsohGaiOPgWhYDC5brjwUj_XHEPg7Luxk2W-wuCx2Ro5slRQE2c-c-Fe3PMq4jN6M*\">COVID-19 Vaccination Status Form<\/a><\/span><\/center><\/td>\n\n\n \n\n<td width=\"1050\">\n\n\n<ul>\n \t\n\n<li style=\"list-style-type: none;\"><b>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:<\/b>\n\n\n<ul>\n \t\n\n<li style=\"list-style-type: none;\"><\/li>\n\n\n<\/ul>\n\n\n<\/li>\n\n\n \t\n\n<li>provide proof of full vaccination and receipt of a recommended booster dose against COVID-19; or<\/li>\n\n\n \t\n\n<li>provide proof of one dose of a COVID-19 vaccine since September 2022.<\/li>\n\n\n<\/ul>\n\n\n\n\n<ul>\n \t\n\n<li style=\"list-style-type: none;\"><b>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:<\/b>\n\n\n<ul>\n \t\n\n<li style=\"list-style-type: none;\"><\/li>\n\n\n<\/ul>\n\n\n<\/li>\n\n\n \t\n\n<li>proof of full vaccination and receipt of a recommended booster dose against COVID-19; or<\/li>\n\n\n \t\n\n<li>proof of one dose of a COVID-19 vaccine since September 2022.<\/li>\n\n\n \t\n\n<li>I am unable to receive recommended doses of the COVID-19 vaccine for medical reasons.\n\n\n<ul>\n \t\n\n<li>(Receiving a medical exemption requires approval. For more information about medical exemptions please see below.)<\/li>\n\n\n<\/ul>\n\n\n<\/li>\n\n\n \t\n\n<li>I will not receive recommended doses of the COVID-19 vaccine for philosophical reasons.<\/li>\n\n\n \t\n\n<li>I will not receive recommended doses of the COVID-19 vaccine for religious reasons.<\/li>\n\n\n<\/ul>\n\n\n<\/td>\n\n\n<\/tr>\n\n --><br \/>\n<\/tbody>\n<\/table>\n<p><\/center><\/p>\n<h1 id=\"Health Forms - Uploading\">Health Forms &#8211; Uploading Documents \/ Forms<\/h1>\n<p><center><\/p>\n<p><!-- 1st Row --><\/p>\n<p><!-- 2nd Row --><\/p>\n<p><!-- 3rd Row --><\/p>\n<table>\n<tbody>\n<tr>\n<td width=\"15\"><center><strong><span style=\"font-size: large;\"> Forms<\/span><\/strong><\/center><\/td>\n<td width=\"300\"><center><strong><span style=\"font-size: large;\">Required Form<\/span><\/strong><\/center><\/td>\n<td width=\"1050\"><center><strong><span style=\"font-size: large;\"> Instructions<\/span><\/strong><\/center><\/td>\n<\/tr>\n<tr>\n<td width=\"15\"><center><span style=\"font-size: large;\">1<\/span><\/center><\/td>\n<td width=\"300\"><center><span style=\"font-size: large;\"><a href=\"https:\/\/www.bates.edu\/health-services\/immunizations\/\" target=\"_blank\" rel=\"noopener noreferrer\">Upload Vaccination Form<\/a><\/span><\/center><\/td>\n<td width=\"1050\"><span style=\"font-size: large;\"><span style=\"font-size: large;\"><u>Please make sure to have your Vaccinations form completed by your Primary Care Provider prior to completing this step.<\/u><\/span><\/span><\/p>\n<p><u><\/u><u><\/u><u><\/u><u><\/u><u><\/u><u><\/u><u><\/u><u><\/u><u><\/u><u><\/u><u><\/u><u><\/u><u><\/u><u><\/u><u><\/u><u><\/u><u><\/u><u><\/u><u>Complete and sign the Electronic Vaccinations Form<\/u> and use one of the two methods mentioned above for turning it in to Bates Health Services by July 1, 2024.<\/p>\n<p><u>Acceptable proof of Vaccination includes:<\/u> a copy of your high school Vaccination record or a copy of the original Vaccination certificate. Note: Only proof of vaccination or proof of immunity by blood titer are acceptable.<\/p>\n<p><span style=\"font-size: large;\">Please note the <i>Vaccination Form also includes recommended vaccines<\/i> prior to your matriculation to Bates. <u>We strongly recommend<\/u> you receive these as well. Additional information regarding meningitis and college students is available from the <a href=\"https:\/\/www.cdc.gov\/meningococcal\/about\/risk-community.html\" target=\"_blank\" rel=\"noopener noreferrer\">Center for Disease Control and Prevention.<\/a><\/span><\/td>\n<\/tr>\n<tr>\n<td width=\"15\"><center><span style=\"font-size: large;\">2<\/span><\/center><\/td>\n<td width=\"300\"><center><span style=\"font-size: large;\"><a href=\"https:\/\/www.bates.edu\/health-services\/tb-attachment-form-2\/\" target=\"_blank\" rel=\"noopener noreferrer\">Upload TB Form<\/a><\/span><\/center><\/td>\n<td width=\"1050\"><span style=\"font-size: large;\"><u>Here is where you can upload your TB form completed by your Primary Care Provider. <\/u><br \/>\n*Only required if you answered &#8220;yes&#8221; to any of the questions on the TB section of the &#8220;Health History, Consent to Medical Treatment and TB Form&#8221;.<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><\/center><\/p>\n<h1 id=\"Health Forms - Printable Version\">Health Forms &#8211; Printable Version<\/h1>\n<p><center><\/p>\n<p><!-- 1st Row --><\/p>\n<p><!-- 2nd Row --><br \/>\n<!--\n\n\n<tr>\n\n\n<td width=\"15\"><CENTER><font size=4><\/Center><\/font><\/td>\n\n\n\n\n<td width=\"300\"><CENTER><font size=4><a href=\"https:\/\/www.bates.edu\/health-services\/files\/2025\/06\/Bates-Health-History-Consent-and-TB-Form-Parent-or-Guardian-v2-6.5.25.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Consent to Medical Treatment Form<\/a><\/Center><\/font><\/td>\n\n\n\n\n<td width=\"1050\"><font size=4><u>Complete and Sign<\/u><\/font><\/td>\n\n\n<\/tr>\n\n\n--><br \/>\n<!-- 3rd Row --><\/p>\n<p><!-- 4th Row --><\/p>\n<table>\n<tbody>\n<tr>\n<td width=\"15\"><center><strong><span style=\"font-size: large;\"> Forms<\/span><\/strong><\/center><\/td>\n<td width=\"300\"><center><strong><span style=\"font-size: large;\">Required Form<\/span><\/strong><\/center><\/td>\n<td width=\"1050\"><center><strong><span style=\"font-size: large;\"> Instructions<\/span><\/strong><\/center><\/td>\n<\/tr>\n<p><!--\n\n\n<tr>\n\n\n<td width=\"15\"><center><span style=\"font-size: large;\">1<\/span><\/center><\/td>\n\n\n\n\n<td width=\"300\"><center><span style=\"font-size: large;\"><a href=\"https:\/\/www.bates.edu\/health-services\/files\/2025\/06\/Bates-Health-History-Consent-and-TB-Form-Parent-or-Guardian-v2-6.5.25.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Health History Form, Consent to Medical Treatment and TB Form<\/a><\/span><\/center><\/td>\n\n\n\n\n<td width=\"1050\"><span style=\"font-size: large;\"><u>Complete and Sign<\/u> - Please be sure to include any information about chronic illnesses, recent hospitalizations, allergies and medications.<\/span><\/td>\n\n\n<\/tr>\n\n\n--><\/p>\n<tr>\n<td width=\"15\"><center><span style=\"font-size: large;\">1<\/span><\/center><\/td>\n<td width=\"235\"><center><span style=\"font-size: large;\"><a href=\"https:\/\/www.bates.edu\/health-services\/files\/2025\/06\/Bates-College-Full-TB-Form-Student-6.5.25.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">TB Testing Form<\/a><\/span><\/center><\/td>\n<td width=\"1050\"><span style=\"font-size: large;\"><span style=\"font-size: large;\"><u>Complete and submit the required TB Testing Form<\/u>.<br \/>\nPrint out the TB Form and once your healthcare provider has completed their part you can send it to us by one of two methods:<\/span><\/span><\/p>\n<ol type=\"i\">\n<li><b>Attach it Electronically<\/b> to the online TB Form:\n<ul>\n<li>Start a new TB Form online and attach your completed Signed TB form.<\/li>\n<li>If you don&#8217;t have it electronically you can use your phone to take a snapshot of it and attach that to the online TB Form.<\/li>\n<li><a href=\"https:\/\/youtu.be\/9BqJ06au5KA\" target=\"_blank\" rel=\"noopener noreferrer\">Check out our &#8220;How To Attach the TB Form&#8221; video for further help.<\/a><\/li>\n<\/ul>\n<\/li>\n<\/ol>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"15\"><center><span style=\"font-size: large;\">2<\/span><\/center><\/td>\n<td width=\"300\"><center><span style=\"font-size: large;\"><a href=\"https:\/\/www.bates.edu\/health-services\/files\/2025\/06\/Bates-Vaccination-Chart-Parent-Guardian-Version-6.5.2025.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Vaccination Form<\/a><\/span><\/center><\/td>\n<td width=\"1050\"><span style=\"font-size: large;\"><span style=\"font-size: large;\"><u>Complete and sign the Vaccination Form<\/u><br \/>\nOnce you have your Vaccination records you can send it to us by one of two methods:<\/span><\/span><\/p>\n<ol type=\"i\">\n<li><b>Attach it Electronically<\/b> to the online Vaccination Form:\n<ul>\n<li>Start a new Electronic Vaccination Form online by using the link below 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.<\/li>\n<li><a href=\"https:\/\/youtu.be\/iyq0XfXk3UE\" target=\"_blank\" rel=\"noopener noreferrer\">Check out our &#8220;How to Attach Vaccination Records&#8221; video for further help.<\/a><\/li>\n<li>If you don&#8217;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.<\/li>\n<\/ul>\n<\/li>\n<li>You can also print the Vaccination form, Sign it and Mail it to Health Services:<b>Mail to: <\/b>\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>Bates Health Services<\/ul>\n<ul>31 Campus Ave.<\/ul>\n<ul>Lewiston, ME 04240<\/ul>\n<\/li>\n<\/ol>\n<p><u>Acceptable proof of Vaccination includes:<\/u> a copy of your high school Vaccination record or a copy of the original Vaccination certificate. Note: Only proof of vaccination or proof of immunity by blood titer are acceptable.<\/p>\n<p>Please note the <i>Vaccination Form also includes recommended vaccines<\/i> prior to your matriculation to Bates. <u>We strongly recommend<\/u> you receive these as well. Additional information regarding meningitis and college students is available from the <a href=\"https:\/\/www.cdc.gov\/meningococcal\/about\/risk-community.html\" target=\"_blank\" rel=\"noopener noreferrer\">Center for Disease Control and Prevention<\/a>.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><\/center><\/p>\n<h1 id=\"Mandatory Health Insurance\">Mandatory Health Insurance<\/h1>\n<p><span style=\"font-size: large;\"><br \/>\nBates College requires that all students verify they have their own health insurance coverage by May 31st or be automatically enrolled in the <a href=\"https:\/\/www.bates.edu\/health-services\/insurance-2\/\"> Bates Student Health Insurance Plan<\/a>.<\/span><\/p>\n<p><span style=\"font-size: large;\"><b>All Domestic students<\/b> enrolled in 3 or more classes are eligible and are required to enroll or decline the Bates College Student Health Insurance Plan through their Garnet Gateway account. Students who have not made a selection by May 31, 2024 will be billed for the coverage and will be automatically enrolled.<\/span><\/p>\n<p><span style=\"font-size: large;\"><b>All International students &amp; Scholars<\/b> will automatically be enrolled in and billed for the Bates College Student Health Insurance Plan.<br \/>\nAs a college student responsible for your own health decisions, you will be primarily responsible for managing your insurance claims while you are here. To do so, it is essential to understand your policy and the specifics included within it; you may want to contact your insurance company and update them that your temporary residence will be located in Maine at Bates College. More information about insurance requirements for all students can be found <a href=\"https:\/\/www.bates.edu\/health-services\/insurance-2\/\">here<\/a>.<\/span><\/p>\n<p><span style=\"font-size: large;\">More information about financial aid and affording the cost of the Bates Student Health Insurance Plan can be found <a href=\"https:\/\/www.bates.edu\/financial-services\/costs-and-payment\/\">here<\/a>.<\/span><\/p>\n<p><span style=\"font-size: large;\">We would also like to remind you to bring your health insurance card to all health related appointments at Bates Health Services to ensure access to care. Bates Health Services bills students&#8217; health insurance.<\/span><\/p>\n<p><span style=\"font-size: large;\"><br \/>\n<\/span><span style=\"font-size: large;\">We look forward to your arrival on campus this August. We are happy to answer questions about these requirements. Please contact us either by email, <a href=\"mailto:healthservices@bates.edu\">healthservices@bates.edu<\/a>, or by calling 207-786-6199.<\/span><\/p>\n<p><span style=\"font-size: large;\">&nbsp;<\/span><\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>Students younger than 18 years of age are required to have their&hellip;<\/p>\n","protected":false},"author":870,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_hide_ai_chatbot":false,"_ai_chatbot_style":"","associated_faculty":[],"_Page_Specific_Css":"","_bates_restrict_mod":false,"_table_of_contents_display":false,"_table_of_contents_location":"","_table_of_contents_disableSticky":false,"_is_featured":false,"footnotes":"","_bates_seo_meta_description":"","_bates_seo_block_robots":false,"_bates_seo_sharing_image_id":0,"_bates_seo_sharing_image_twitter_id":0,"_bates_seo_share_title":"","_bates_seo_canonical_overwrite":"","_bates_seo_twitter_template":""},"class_list":["post-2540","page","type-page","status-publish","hentry","with-sidebar"],"_links":{"self":[{"href":"https:\/\/www.bates.edu\/health-services\/wp-json\/wp\/v2\/pages\/2540","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.bates.edu\/health-services\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.bates.edu\/health-services\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.bates.edu\/health-services\/wp-json\/wp\/v2\/users\/870"}],"replies":[{"embeddable":true,"href":"https:\/\/www.bates.edu\/health-services\/wp-json\/wp\/v2\/comments?post=2540"}],"version-history":[{"count":92,"href":"https:\/\/www.bates.edu\/health-services\/wp-json\/wp\/v2\/pages\/2540\/revisions"}],"predecessor-version":[{"id":5798,"href":"https:\/\/www.bates.edu\/health-services\/wp-json\/wp\/v2\/pages\/2540\/revisions\/5798"}],"wp:attachment":[{"href":"https:\/\/www.bates.edu\/health-services\/wp-json\/wp\/v2\/media?parent=2540"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}