Telephone: (716) 278-5800 ext. 41251

GO WOLVERINES! 

Now scheduling Sports Physicals for the fall season.

Call 716-286-0788 between 8:30am - 3:45pm to make an appointment. 

Sports Physicals will be held July 26th through August 21st.

Tryouts for Football begin August 19th. 

All other sports will begin August 26th. 

Health History Form Information:

Complete the Health History Form with your parent or guardian in pen and bring it to your school clinic. 

The school district nurse practitioner can NOT do a physical for you without the parent-signed health history, it gives permission to the NP to complete the exam.

• Ongoing medical medications such as asthma, allergies, diabetes, and seizures must have updated orders to self-carry medications for the 2024-25 school year. 
• If your child needs any forms to be updated, you can:
• Click on District sports forms to the right and print the form that you need 

Things you MUST bring to your appointment: 

You MUST have your Health History filled out and signed by your parent/guardian   

*Girl's please wear tank or loose-fitting tee shirt​

*Boys and girls in 7^th and 8^th grade: talk to your parents to understand the tanner test

Please understand that for the physical exam to be of true value, some clothing will need to be removed. Modesty will at all times be maintained in a professional manner and expected by students as well.   

Sports Health Interval Form

To avoid disqualification: 

• You must pass your vision exam at least 20/30 * Bring your glasses if you need them for your vision test  
• You must have an updated self-carry medication order signed by your HCP and parent for any medication you take
• You must have your medication in its original container if your HCP has ordered medications for you.
• You must have a clearance note from your HCP or specialist for any injuries or illness you sustained in the last school year, which you did not already get clearance from the HCP treating your injury or illness 

Thank you for your understanding of the above directions. 

Sincerely, 

Philip Sauvageau, M.D.

Medical Director