Sports Physical Forms

Sports Physicals

St. Mary’s and Clearwater Valley Hospital & Clinics are happy to provide sports physicals for all students entering 7th, 9th or 11th grade and all new students, prior to participating in any sport or any practice associated with a sport.  The cost of the physical will be $25 payable at the time of exam and SMH & CVH will donate all proceeds back to your student’s school for both academic and athletic programs.  Students unable to attend one of these sports physical clinics may schedule a wellness appointment at any other time, but the regular rate will apply and no donation will return to the school.
IMPORTANT: Students should fill out the front side of the Idaho Health Examination and Consent Form and bring it to their appointment.  **A parent or guardian and the student must sign the form before a physical can be performed.

**A parent or guardian must also fill out and sign the Immunization Information sheet. The student must bring the completed form that evening. Please bring your immunization records. There will be no charge for the immunizations listed on the sheet. However, Hepatitis B is a three shot series, and Hepatitis A is a two shot series. A slight injection fee will be charged for the follow up shots which can be obtained during our regular clinic hours. No appointment necessary. If you have any questions related to immunizations, please call the clinic you normally use.

Students should wear shorts and a T-shirt or tank top to the sports physical exam. They should also bring or wear their glasses or contacts. Parents are welcome to wait in the reception area while the exams are being conducted. **Parents must also sign the Authorization for Release form to allow us to send the completed sports physical form to the schools.

If you have any questions please feel free to call. We’re looking forward to working with the students again this year. We support athletic and academic programs that help prepare our students for a healthy and successful future.

Printable Sports Physical Information Sheet

Please download, fill out, and bring all three of the forms below
to your Sports Physical Appointment.

1) IHS Health Examination & Consent Form
2) Immunization Information Form
3) Authorization for Release – Heath Info Athletes

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