If submitting forms OVER THE SUMMER, please fax or mail all forms to the Bates College Health Center.
Fax Number: 207-786-8240
Mailing Address: 31 Campus Ave. Lewiston, ME 04240
If submitting forms AFTER SEPTEMBER 1, the PHYSICAL FORM NEEDS TO GO TO THE HEALTH CENTER. All other forms can be hand delivered to your team's Athletic Trainer.
The following forms are MANDATORY for all Varsity Student-Athletes to complete prior to medical clearance for varsity sport participation at Bates College.
The following 3 forms need to be submitted by the student-athlete for clearance to participate in sports at Bates College. These forms need to be completed by your physician.
Bates College Physical Exam Form (All Varsity Athletes Yearly, Rugby and Ice Hockey Club Athletes Every Other Year, ie First Year and Junior Year)
Sickle Cell Form (First Year and Transfer Students ONLY)
ADD/ADHD Form (Only applicable if diagnosed with ADD/ADHD and currently medicated)
If you submitted this form last year but are no longer prescribed medication for ADD/ADHD, a note from your prescribing physician needs to be faxed or mailed to the Bates Sports Medicine Department stating you are no longer taking the banned substance. Failure to facilitate this note will result in NO medical clearance for participation in your sport(s). This form needs to be submitted yearly.
HIPAA Form (All Varsity Athletes only, yearly)
Emergency Information Form (All Varsity Athletes only, yearly)
Concussion and Injury Agreement Form (All Varsity Athletes, including Ice Hockey and Rugby, yearly)
Assumption of Risk (All Varsity Athletes, including Ice Hockey and Rugby, yearly)