{"id":2617,"date":"2017-05-11T07:39:53","date_gmt":"2017-05-11T11:39:53","guid":{"rendered":"https:\/\/www.bates.edu\/health-services\/?page_id=2617"},"modified":"2025-01-03T12:12:40","modified_gmt":"2025-01-03T17:12:40","slug":"health-forms-faqs","status":"publish","type":"page","link":"https:\/\/www.bates.edu\/health-services\/health-forms-faqs\/","title":{"rendered":"First Year Health Forms FAQs"},"content":{"rendered":"<div class=\"btn-wrap\">\n\t<div class=\"btn-action\" id=\"general-faqs-about-the-electronic-form\">\n\t\t<h3 class=\"btn-title\">General FAQs about the Electronic Form<\/h3>\n\t\t<div class=\"btn-arrow\"><\/div>\n\t<\/div>\n\t<div class=\"btn-content\">\n<div id=\"electronic forms\"><h5 class=\"js-foldaway-sections foldaway-section-header\" >\n\t<a href=\"#\"><span>+<\/span>How do I complete my health forms?<\/a>\n\t<\/h5><div class=\"foldaway-section foldaway-inner-yellow\"><\/div>\n<div><\/div>\n<ol>\n<li><b>Health History Section:<\/b>\n<ol type=\"i\">\n<li>This section be can filled out completely online. In most cases, the information needed to complete this form can be obtained with your parent\/guardian.<\/li>\n<li>To view a completed example, <a href=\"https:\/\/www.bates.edu\/health-services\/files\/2023\/06\/Paul-Maudib-Health-History-Consent-and-TB-Form-5.25.2023.pdf\" target=\"_blank\" rel=\"noopener\"> click here.<\/a><\/li>\n<\/ol>\n<\/li>\n<li><b>Consent to Medical Treatment Section:<\/b>\n<ol type=\"i\">\n<li>This section be can filled out completely online. Only a signature is required to complete this form.<\/li>\n<li>To view a completed example, <a href=\"https:\/\/www.bates.edu\/health-services\/files\/2022\/05\/HH-Example-Consent-Page.pdf\" target=\"_blank\" rel=\"noopener noreferrer\"> click here.<\/a><\/li>\n<\/ol>\n<\/li>\n<li><b>TB Screening Section:<\/b>\n<ol>\n<li>If you answer &#8220;No&#8221; to the first five questions at the top of the form you can electronically sign and submit it. That&#8217;s all you need to do. To view a completed example, <a href=\"https:\/\/www.bates.edu\/health-services\/files\/2021\/05\/TB-Form-2021-05-28-123309.jpg\" target=\"_blank\" rel=\"noopener\"> click here.<\/a><\/li>\n<li>However, if you answer &#8220;Yes&#8221; to any of the first five questions you will need to have your healthcare provider fill out the TB Testing Form.<\/li>\n<li>You can print out the TB Testing Form, have it completed by your healthcare provider and then return it to Bates Health Services by <strong style=\"color: initial; font-family: var(--fontSansSerif);\">a<\/strong><b style=\"color: initial; font-family: var(--fontSansSerif);\">ttaching it electronically<\/b><span style=\"color: initial; font-family: var(--fontSansSerif);\"> to the TB Testing Form.<\/span> <a style=\"font-size: revert; font-family: var(--fontSansSerif);\" href=\"https:\/\/www.bates.edu\/health-services\/tb-attachment-form\/\">Click here <\/a><span style=\"color: initial; font-family: var(--fontSansSerif);\">to attach and upload your TB Testing Form. <\/span><span style=\"color: initial; font-family: var(--fontSansSerif);\">If you don&#8217;t have it electronically, you can use your phone\/tablet to take a snapshot of it and attach it to the TB Testing Form.<\/span><b><\/b><\/li>\n<\/ol>\n<\/li>\n<li><!--\n \t\n\n<li><b>COVID-19 Vaccination Status Form: <\/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:\n\n\n<ul>\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\nAll 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:\n\n\n<ul>\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(Receiving a medical exemption requires approval. For more information about medical exemptions please see below.)<\/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\nBased 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<ul>\n \t\n\n<li><b>Attach it Electronically<\/b> to the Online COVID-19 Vaccination Status Form<\/li>\n\n\n<\/ul>\n\n\n<\/li>\n\n\n-->\n<ol>\n<li><b>Vaccine Form: <\/b><\/li>\n<\/ol>\n<p>This form must include your vaccination record from your healthcare provider. This could be this form printed and completed by your healthcare provider or you could attach a copy of your official vaccination record from your healthcare provider&#8217;s office. Once completed, you can send it to us by one of two methods:<\/p>\n<ul>\n<li><b>Attach it Electronically<\/b> to the Online Vaccine Form:\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>&#8211; Start a new Vaccine Form online and attach your completed Vaccine Form signed by your healthcare provider or a copy of your official vaccination record from your healthcare provider&#8217;s office.<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>&#8211; 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 Vaccine Form.<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p><\/div><br \/>\n<h5 class=\"js-foldaway-sections foldaway-section-header\" >\n\t<a href=\"#\"><span>+<\/span>I missed the July 1st deadline. What should I do?<\/a>\n\t<\/h5><div class=\"foldaway-section foldaway-inner-yellow\"><\/p>\n<ul>\n<li>First, take a deep breath.<\/li>\n<li>Second, complete your forms as quickly as possible.<\/li>\n<li>If you need help don&#8217;t hesitate to contact Health Services either by email, <a href=\"mailto:healthservices@bates.edu\">healthservices@bates.edu<\/a>, or by calling 207-786-6199.<\/li>\n<\/ul>\n<p><\/div><br \/>\n<h5 class=\"js-foldaway-sections foldaway-section-header\" >\n\t<a href=\"#\"><span>+<\/span>What information will I need to complete the Health History Section?<\/a>\n\t<\/h5><div class=\"foldaway-section foldaway-inner-yellow\"><\/p>\n<ul>\n<li>Your Personal Contact Information<\/li>\n<li>Place of Birth<\/li>\n<li>Parent\/Guardian Contact Information<\/li>\n<li>Personal Health History, including any chronic medical conditions, allergies, medications, and surgeries<\/li>\n<li>Primary Care Physician<\/li>\n<\/ul>\n<p><\/div><br \/>\n<!--&#091;foldaway heading=\"Do I need to have Health Insurance? What are my choices?\" level=\"4\"&#093;\n\n\n<ul>\n \t\n\n<li>You are required to have Health Insurance.\n\n\n<ul>\n \t\n\n<li>Either Bates Health Insurance or your parent's \/ guardian's health insurance.<\/ul>\n\n\n<\/li>\n\n\n \t\n\n<li>If you waive Bates Health Insurance you will need your Health Insurance card available in order to complete this section of the form.\n\n\n<ul>\n \t\n\n<li>For example, Subscriber Name (Parent or Guardian), Policy #, Health Insurance Company, Group # and so on.<\/ul>\n\n\n<\/li>\n\n\n<\/ul>\n\n\n&#091;\/foldaway&#093;--><br \/>\n<h5 class=\"js-foldaway-sections foldaway-section-header\" >\n\t<a href=\"#\"><span>+<\/span>Can I print my completed health forms?<\/a>\n\t<\/h5><div class=\"foldaway-section foldaway-inner-yellow\"><\/p>\n<ul>\n<li>Yes, when you click on &#8220;Finish&#8221; to complete the form you will have an option to &#8220;Show&#8221; the document. You can then print it.<\/li>\n<li>You will also receive a copy of the form in your email so you can view it and print it after completing the form.<\/li>\n<\/ul>\n<p><\/div><br \/>\n<h5 class=\"js-foldaway-sections foldaway-section-header\" >\n\t<a href=\"#\"><span>+<\/span>What if I am under 18 years old? <\/a>\n\t<\/h5><div class=\"foldaway-section foldaway-inner-yellow\"><\/p>\n<ul>\n<li>You are required to have a Parent\/Guardian sign your health forms.\n<ul>\n<li style=\"list-style-type: none;\">\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<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>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.<\/p>\n<ul>\n<li>The Parent\/Guardian can sign the form and it will be sent to Bates Health Services.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p><\/div><\/li>\n<\/ol>\n<p><\/div>\n<\/div>\n<br \/>\n<div class=\"btn-wrap\">\n\t<div class=\"btn-action\" id=\"tb-testing-form\">\n\t\t<h3 class=\"btn-title\">TB Testing Form<\/h3>\n\t\t<div class=\"btn-arrow\"><\/div>\n\t<\/div>\n\t<div class=\"btn-content\"><\/p>\n<div id=\"TB form\"><h5 class=\"js-foldaway-sections foldaway-section-header\" >\n\t<a href=\"#\"><span>+<\/span>Is it possible to print the TB Testing Form so I can send it to my PCP?<\/a>\n\t<\/h5><div class=\"foldaway-section foldaway-inner-yellow\"><br \/>\nYes, you can print the form using one of the following approaches:<\/p>\n<ul>\n<li>Print the form, which you can view here, <a href=\"https:\/\/www.bates.edu\/health-services\/files\/2024\/06\/Bates-College-Full-TB-Form-Student-6.5.24.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">TB Testing Form<\/a>, have your healthcare provider fill out the appropriate sections and send it to Health Services.<\/li>\n<li><a href=\"https:\/\/youtu.be\/9BqJ06au5KA\" target=\"_blank\" rel=\"noopener noreferrer\">Check out this Step by Step Video Guide<\/a><\/li>\n<\/ul>\n<p><\/div><br \/>\n<h5 class=\"js-foldaway-sections foldaway-section-header\" >\n\t<a href=\"#\"><span>+<\/span>Once my physician completes the TB Testing Form, how do I send it to Bates Health Services?<\/a>\n\t<\/h5><div class=\"foldaway-section foldaway-inner-yellow\"><\/p>\n<ul>\n<li>You can print out the form, have it completed by your healthcare provider and return it to Bates Health Services by:\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>\n<li><b>Attach it Electronically<\/b> to the Online TB Testing Form:\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>&#8211; Click<\/ul>\n<\/li>\n<\/ul>\n<p><a style=\"font-size: revert; font-family: var(--fontSansSerif);\" href=\"https:\/\/www.bates.edu\/health-services\/tb-attachment-form\/\">here <\/a><span style=\"color: initial; font-family: var(--fontSansSerif);\">to upload your TB Testing Form.<\/span><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>&#8211; If you don&#8217;t have it electronically you can use your phone\/tablet to take a snapshot of it and attach that to the online TB Testing Form.<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li style=\"list-style-type: none;\"><\/li>\n<\/ul>\n<ul>\n<li style=\"list-style-type: none;\">\n<ul><\/div><\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/div>\n<p><\/div>\n<\/div>\n<br \/>\n<div class=\"btn-wrap\">\n\t<div class=\"btn-action\" id=\"vaccine-form\">\n\t\t<h3 class=\"btn-title\">Vaccine Form<\/h3>\n\t\t<div class=\"btn-arrow\"><\/div>\n\t<\/div>\n\t<div class=\"btn-content\"><\/p>\n<div id=\"Vaccination form\"><h5 class=\"js-foldaway-sections foldaway-section-header\" >\n\t<a href=\"#\"><span>+<\/span>Once I have my records from my healthcare provider, how do I send it to Bates Health Services?<\/a>\n\t<\/h5><div class=\"foldaway-section foldaway-inner-yellow\"><\/p>\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>\n<li><b>Attach it Electronically<\/b> to the Online Vaccine Form:\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>&#8211; Start a new Electronic Vaccine Form online by using the link on the main site and attach your records to the form. Within the electronic form you will see an icon that you can select to upload your documents.<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>&#8211; If you don&#8217;t have your records electronically you can use your phone to take a snapshot of it and attach that to the online Vaccine Form.<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>\n<li style=\"list-style-type: none;\"><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p><\/div><\/p>\n<\/div>\n<p><\/div>\n<\/div>\n<br \/>\n<!--[btn ttl=\"COVID-19 Vaccine Card Upload Form\" color=\"#CF7B24\"]\n\n\n<div id=\"COVID-19 form\">[foldaway heading=\"Am I required to upload a copy of my COVID-19 Vaccine Card?\" level=\"4\"]\n<center>Yes,Upload your COVID-19 card with proof of your COVID-19 vaccine doses.<\/center>\n\n\n<ul>\n \t\n\n<li style=\"list-style-type: none;\">\n\n\n<ul>\n \t\n\n<li style=\"list-style-type: none;\">\n\n\n<ul>\n \t\n\n<li>If you need to upload it complete the following process:\n<b>Attach it Electronically<\/b> to the Online COVID-19 Vaccine Card Form:\n\n\n<ul>\n \t\n\n<li style=\"list-style-type: none;\">\n\n\n<ul>\n \t\n\n<li style=\"list-style-type: none;\">\n\n\n<ul>- Start a new Electronic COVID-19 Vaccine Card Form online by using the link on the main site and attach your picture of your COVID-19 Vaccine Card to the form. Within the electronic form you will see an icon that you can select to upload your documents. .<\/ul>\n\n\n<\/li>\n\n\n<\/ul>\n\n\n<\/li>\n\n\n<\/ul>\n\n\n\n\n<ul>\n \t\n\n<li style=\"list-style-type: none;\">\n\n\n<ul>\n \t\n\n<li style=\"list-style-type: none;\">\n\n\n<ul>- If you don't have a picture of your COVID-19 Vaccine Card electronically, you can use your phone\/device to take a snapshot\/scan of it and attach that to the online COVID-19 Vaccine Card Upload Form.<\/ul>\n\n\n<\/li>\n\n\n<\/ul>\n\n\n<\/li>\n\n\n<\/ul>\n\n\n<\/li>\n\n\n<\/ul>\n\n\n<\/li>\n\n\n<\/ul>\n\n\n<\/li>\n\n\n<\/ul>\n\n\n\n\n<ul>\n \t\n\n<li style=\"list-style-type: none;\">\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<\/ul>\n\n\n[\/foldaway]<\/div>\n\n\n[\/btn]--><br \/>\n<div class=\"btn-wrap\">\n\t<div class=\"btn-action\" id=\"support-and-training-materials\">\n\t\t<h3 class=\"btn-title\">Support and Training Materials<\/h3>\n\t\t<div class=\"btn-arrow\"><\/div>\n\t<\/div>\n\t<div class=\"btn-content\"><h5 class=\"js-foldaway-sections foldaway-section-header\" >\n\t<a href=\"#\"><span>+<\/span>Examples of Completed Forms<\/a>\n\t<\/h5><div class=\"foldaway-section foldaway-inner-yellow\"><\/p>\n<ul>\n<li><a href=\"https:\/\/www.bates.edu\/health-services\/files\/2023\/06\/Paul-Maudib-Health-History-Consent-and-TB-Form-5.25.2023.pdf\" target=\"_Blank\" rel=\"noopener noreferrer\">Bates College Health History &#8211; Consent Form and TB Form <\/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\">Bates College Vaccine Form<\/a><br \/>\n<\/div><\/li>\n<\/ul>\n<h5 class=\"js-foldaway-sections foldaway-section-header\" >\n\t<a href=\"#\"><span>+<\/span>How To Videos for all Forms<\/a>\n\t<\/h5><div class=\"foldaway-section foldaway-inner-yellow\">\n<ul>\n<li><a href=\"https:\/\/youtu.be\/k52K3Tj7_6M\" target=\"_blank\" rel=\"noopener noreferrer\">Health History Form Step by Step Example Video Guide<\/a><\/li>\n<li>\n<div><\/div>\n<\/li>\n<li><a href=\"https:\/\/youtu.be\/9BqJ06au5KA\" target=\"_blank\" rel=\"noopener noreferrer\">How to Attach a TB Testing Form<\/a><\/li>\n<li>\n<div><\/div>\n<\/li>\n<li><a href=\"https:\/\/youtu.be\/KZ_JQFRP3j8\" target=\"_blank\" rel=\"noopener noreferrer\">How to Attach Your Vaccination Records<\/a><br \/>\n<!--\n \t\n\n<li><a href=\"https:\/\/youtu.be\/7rE7NI4FLlc\" target=\"_blank\" rel=\"noopener noreferrer\">TB Form Step by Step Video Guide<\/a><\/li>\n\n\n--><br \/>\n<!--\n \t\n\n<li><a href=\"\" target=\"_blank\" rel=\"noopener noreferrer\">TB Testing Form Step by Step Video Guide<\/li>\n\n\n \t\n\n<li><a href=\"\" target=\"_blank\" rel=\"noopener noreferrer\">Vaccination Form Step by Step Video Guide<\/a><\/li>\n\n\n--><\/div><\/div>\n<\/div>\n<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"","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-2617","page","type-page","status-publish","hentry","with-sidebar"],"_links":{"self":[{"href":"https:\/\/www.bates.edu\/health-services\/wp-json\/wp\/v2\/pages\/2617","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=2617"}],"version-history":[{"count":60,"href":"https:\/\/www.bates.edu\/health-services\/wp-json\/wp\/v2\/pages\/2617\/revisions"}],"predecessor-version":[{"id":5696,"href":"https:\/\/www.bates.edu\/health-services\/wp-json\/wp\/v2\/pages\/2617\/revisions\/5696"}],"wp:attachment":[{"href":"https:\/\/www.bates.edu\/health-services\/wp-json\/wp\/v2\/media?parent=2617"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}