Discover Your Potential
ALL YES/NO QUESTIONS MUST BE ANSWERED.
ANY YES ANSWERS, MUST BE EXPLAINED IN BOTTOM LINED SECTION
Feel free to email the completed packet back to the nurse when it is completed in its entirety.
PLEASE READ ALL INSTRUCTIONS BELOW PRIOR TO SENDING
A green tab will appear when your student is CLEARED
Physicals must include a vision screening. Do not leave your PCP office without this component.