Parkland Southeast Dallas Health Center Sports Physicals Appointment Form
Southeast Dallas Health Center - Saturday August 1, 2026
Reminder: Parent or legal guardian
MUST
be present at appointment
Select An Appointment Time
*
Student Full Name
*
First Name
Last Name
Parent / Guardian Email Address
*
example@example.com
Parent / Guardian Contact Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Select your School District for the 26-27 School Year
*
Please Select
Cedar Hill Independent School District
Dallas Independent School District
DeSoto Independent School District
Duncanville Independent School District
Garland Independent School District
Grand Prairie Independent School District
Irving Independent School District
Lancaster Independent School District
Mesquite Independent School District
Richardson Independent School District
Public Charter School
Type the Name of your School
*
List all school activities you participate in that require a UIL physical
*
Submit
Should be Empty: