This form is to provide information required for your student to take advantage of the school provided athletic physicals on May 11th, 12th and 13th from 1:00pm - 4:00pm at the Baptist Health Clinic.  Please complete the form with your insurance information if applicable.  If your insurance is run, you will not be responsible for any copay or fees.  This form must be completed before May 10th for your student to be placed on the appointment schedule.
***All athletes must create an account (and preferably download the app) with Dragonflymax.com and sign up with each sport they intend to participate in before the date of the physicals.