2024 Sports Physicals Events

Sports Physical Event Sign Up
There are currently no future Sports Physicals events planned, and all current events are full. Please consult Amberwell's online calendar for future Sports Physicals event dates, all new dates will be posted there as they become available.

Or you can book an Appointment for a sports physical with an Amberwell primary care provider.

Click here for a list of Amberwell Primary Care locations and providers.
Please complete a form for each student that needs a physical.
Which event are you registering for?*

Amberwell Atchison, August 1, 2024, 4:30pm-7:30pm
Type of registration

Sports Physical OnlySports Physical with Impact TestImpact Test Only
Student First Name*
Student Last Name*
Date of Birth*

MonthDayYear
Date
School

USD #449 - Pleasant RidgeUSD #409 - AtchisonUSD #377 - EffinghamUSD #430 - HortonUSD #339 - JCNMaur Hill Mount AcademyUSD #111 - Doniphan WestUSD 429 - TroyOther
Current Grade*

6th7th8th9th10th11th12th
Parent/Guardian First Name*
Parent/Guardian Last Name*
Phone Number*
Please enter a valid phone number.
Email Address*
example@example.com
Choose a time for the Amberwell Atchison, August 1, 2024, 4:30pm-7:30pm event:*
Choose a time for the Amberwell Hiawatha, July 30, 2024, 3pm-7pm event:*
Choose an impact test time on August 1st:
Your chosen event
Your sports physical time slot at Amberwell Atchison:
Your sports physical time slot at Amberwell Hiawatha:
Your impact testing time slot:
Should be Empty:

Sports Physical Event Sign Up