Athletic Forms

You can complete physicals at the following locations, among others:

Please download, print and fill out our Athletics Health Physical school sports pre-participation examination pdf form, linked below.

Download Physical Examination PDF

Fill out our online athletics medical form below:

Name

First

Last

Phone

Date of Birth

Parent or Guardian's Name

First

Last

Address

Address Line 1

Address Line 2

City

State

Zip Code

Doctor's Name

First

Last

Doctor's Phone

Doctors Address

Address Line 1

Address Line 2

City

State

Zip Code

Preferred Hospital

Insurance Company

Insurance Group Number

Insurance ID Number

Emergency Contact Other Than Parent/Guardian:

First

Last

Name or any

Does student have any special medical conditions? If yes, please explain.

Is student taking medication? If yes, please explain.

Is student allergic to any drugs? If yes, please specify.

When did student have his/her last tetanus shot?

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Athletic Forms

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