Some sections need to be completed by a licensed physician, licensed osteopathic physician, licensed chiropractic physician, licensed physician assistant or certified advanced registered nurse practitioner. Please bring this form completed to your appointment.
School Sports Physical
Contact Us
If you are an established patient, please use the portal. Click below to go to the portal website: If you are not already registered for the portal, you may call the office to sign-up.
You may use the form below to request NON-urgent appointments. Please do not include personal health information.
OUR FAX NUMBER IS (239) 449-9884
Monday:
8:30 am-5:00 pm
Tuesday:
8:30 am-5:00 pm
Wednesday:
8:30 am-5:00 pm
Thursday:
8:30 am-5:00 pm
Friday:
8:30 am-5:00 pm
Saturday:
Closed
Sunday:
Closed