2023 Sports Physical

2023 Sports Physical
June 6th, 13th, possibly the 20th, & 27th if we need more appointment times

Cost: $15.00 per child and $5.00 for each additional sibling
Child's Name*

First NameLast Name
Parent/Guardian Name*

First NameLast Name
Phone Number*

Area CodePhone Number
Please Select an Appointment Date and Time*
IMPORTANT!!!

To keep things running smoothly: Be on time for appointment and MUST have form filled out completely, or appointment will be delayed to the next available time.

Forms can be downloaded from caldwellcountyhealth.com, your school, or pick one up at the office.
I give permission for my child to have there sports physical done at the CCHD by the provider available. My child will be on time with the paperwork completely filled out and signed before arrival. *

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