Medical Health Forms for Students


**ALL REQUIREMENTS MUST BE COMPLETED ON OUR PROVIDED FORMS**

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Air Conditioning Request

Air conditioning is limited in some residence halls and students are not permitted to have air conditioners installed in their room except for rare cases of documented medical condition or disability. If your residence hall does not have a central air conditioning system and you require it for a medical condition or disability please have your medical provider complete the form below and return it to the Bailey Health Center.

Note: If approval for air conditioner has been granted in your prior year at Lafayette, a new request is not needed. You will be contacted directly by Facilities Operations.

Air conditioning request form


Insurance (Required)

Please provide annual insurance information electronically through the Patient Portal.