Medical Forms

Health & Wellness Department at Bay Path

Step 1: Make a doctor's appointment
It sometimes takes several months to get an appointment, so schedule an appointment today!

Step 2: Complete the attached medical forms

Physical Examination Form

Immunization Record 

Health Questionnaire 

Fitness Center Access 

Step 3. Submit your forms by July 1st
Scan and email:
Fax: 413.565.1104
Bay Path University Health Services
588 Longmeadow Street
Longmeadow, MA 01106

If you have any questions, please contact us: or 413.565.1392