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: panderso@baypath.edu
Fax: 413.565.1104
Mail: 
Bay Path University Health and Wellness
588 Longmeadow Street
Longmeadow, MA 01106

If you have any questions, please contact us: panderso@baypath.edu or 413.565.1392

Request Information

Complete this form to request information about our MS in Clinical Mental Health Counseling program.

*
*
*
xxx-xxx-xxxx
*
*