Please read the following options carefully, and select the appropriate forms to download.

https://healthcenter.lafayette.edu/wp-content/uploads/sites/87/2017/05/Lafayette-SHIP-letter.pdfAdobe Acrobat Reader is required for viewing and printing the Lafayette College Application forms. If you do not have Acrobat Reader installed, please download Acrobat Reader from Adobe’s website.

Read the new student letter from Dr. Goldstein

To ensure that all your forms are completed, please review the provided checklist.

Review the health forms To-Do list

Required Medical Forms

The Bailey Health Center utilizes an electronic health record system to keep track of vital health information on each student. You will need to access this system through the Online Patient Portal.

Enter your network ID and password in the OP portal.

Download the immunization record form

Download PPD Screening Form

Download the physical examination form

Insurance

Insurance information will need to be documented in two ways. First would be through the Aetna Waiver link to prove proof of Insurance which will decline the school offered insurance policy. Secondly the form below is required by the Health Center and can be downloaded, completed and uploaded directly to your Patient Portal.

Download Insurance Letter

Download the Insurance form