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Medical Forms

First Year, Transfer, and First Time Varsity Student-Athlete Athletic Requirement Letter
Returning Student-Athlete Athletic Requirement Letter

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 4 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, Rugby and Ice Hockey Club Athletes)
Immunization Form (First Year and Transfer Students ONLY)
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.

The following 3 forms need to be submitted by the student-athlete for clearance to participate in sports at Bates College. These forms do not need physician review.

HIPAA Form (All Varsity Athletes)
Emergency Information Form (All Varsity Athletes)
Concussion and Injury Agreement Form (All Varsity Athletes)

Bates College

2 Andrews Road

Lewiston, ME 04240

Phone: 1-207-786-6255

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