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Sports Physicals

2020-2021 Season Sports Physicals for High School and Middle School Boys & Girls

Date: From Now until Fall Practices begin
Time: By Appointment Only
Location: Medical Office Building • 700 E. Center Street, Douglas, WY
Cost: $20.00

**All Paperwork Must Be Completed Prior to Arrival**

Sports Physicals this year will be one-on-one with a healthcare provider and by appointment only.
All paperwork must be completed and signed by the student and parent/guardian prior to the Sports Physical.

Click Here for Sports Physicals forms.

NOTE: The school district has separate paperwork that must also be filled out before participation in school sports.

A Sports Physical is for Healthy Student Athletes Only.
Student athletes with any of the health conditions listed below require a more comprehensive physical. These student athletes should schedule an appointment with their Primary Care Provider to be evaluated for sports participation clearance.

Sports Physicals Health Condition Exclusions:

  • Previous denial or restrictions to sports by your provider
  • Ongoing medical conditions:
    • Diabetes
    • Ever having a seizure
    • Headaches w/exercise
    • Numbness, tingling or weakness in arms or legs
    • Heat stroke while exercising or past history of heat stroke
    • Ever having passed out during or after exercise
    • Discomfort, pain, pressure, heart racing or skipping beats during exercise
    • Ever having a test for your heart (ECG, Echocardiogram, etc) that has had abnormal results
    • Previous x-rays for neck instability
    • Regular use of orthopedic brace or frequent pain or weakness in bones or joints (if you are cleared by an orthopedic doctor, then you can participate)
    • Coughing, wheezing, or difficulty breathing during and after exercise
    • Mono in the past month
    • Head injury or concussion in past year, without previous clearance by a provider.

Memorial Hospital of Converse County thanks you for your complete and honest attention to this matter.

We wish all of our student athletes a SAFE and SUCCESSFUL season!