2025 SEHDC Sports Physical Registration Form

2025 Sports Physical Registration Form

Southeast Dallas Health Center on Saturday, August 2, 2025
General Information
Student's Name

First NameLast Name
Parent/ Guardian Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Parent/ Guardian email
example@example.com
School Information
Please select your school district for 2025-2026*
Please type the name of your attending 2025-2026 school*
Select the school activities that require the UIL form. Multiple choices are allowed)*
SPORTS PHYSICAL APPOINTMENT

Only a single appointment can be scheduled for each student. A parent or legal guardian must be present for student to participate in the appointment.
Sports Physical Appointment- August 2, 2025*
REQUIRED DOCUMENTS

Parkland Health asks parents or legal guardians to fill out two (2) papers. You can download these forms and fill them out before your appointment to save time when checking in. Both English and Spanish versions of each document is available.
DOCUMENT #1: Consent to Treatment- English or Spanish translation

Please print, complete and sign.
Document #1: ENGLISH
Document #1: SPANISH
DOCUMENT #2: UIL Form- English or Spanish translation

Please print, complete and sign.
Document #2: ENGLISH
Document#2: SPANISH
Should be Empty:

2025 Sports Physical Registration Form