Health Forms

For your convenience Student Health Forms are attached below. Please complete applicable forms and send to Student Health Services at the address below.

The following forms are required for all freshmen and transfer students new to Becker College:


In addition to the above forms, veterinary technology, animal care, and equine studies majors are also required to fill out the following forms:


To request a copy of your student health record, complete and return the form below. Provide your contact information, signature, and clearly indicate where the information is to be sent; include fax number or address.

The following link contains important forms for all Becker College student athletes:
» Sports Medicine

Please mail forms to:
Becker College
Student Health Services
964 Main Street
Leicester, MA  01524

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