Sports Clearance Forms

We are happy to complete forms for clearance for your child to play sports.** Your child needs to be up to date with their annual physical exam. Some organizations do require that your child have a more recent exam. If this is the case, we will let you know. There is a $10.00 fee for all forms not requested at the time of the annual well check. Forms requested at the time of the annual check will be completed at no charge.

To process your request we will need the following:

  • A copy of the form from the organization requesting clearance (we do have the PIAA form but we do not have any other forms from other organizations).
  • A completed All Star Sports Questionnaire Form
  • We will need to know if you want to pick up your completed form or have it pushed to your patient portal account (Instructions to retrieve your portal form can be found here)

Please note that while we accept forms via fax or drop off, no forms will be able to be completed unless all information is present. At this time, forms cannot be requested via the portal.

Most forms will be completed in 1-2 business days.  If you have requested your form be pushed to your patient portal and you do not see it after 2 business days, please call the office and choose the option to speak with the nurses.

** Some schools include the sports clearance as a part of their school form.  If your form includes this, even if your child is not currently planning to play sports, we still require a copy of our sports questionnaire form to be completed and attached to your request.

 

Is Your Child Sick?®