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Harrison County Hospital Foundation FREE Annual Sports Physicals to be held Tuesday, May 16, 2017

 

   

 

FREE sports physicals will be held Tuesday, May 16, 2017, at 5:30 pm at the Harrison County Hospital.  

 

Local primary care physicians donate their time to offer free sports physicals for student athletes entering grades 7 thru 12, who live in Harrison or Crawford counties.

 

The Harrison County Health Department will also be on hand to administer vaccines.  Consent forms must be signed by a parent to receive vaccines.  Parents, please bring and updated shot record for your child.

 

APPOINTMENTS ARE REQUIRED!  

Appointments must be made by calling 812-738-7869 between the hours of 8:30 am to 12:00 pm OR 1:00 pm to 4:00 pm ONLY on the following dates:

 

Tuesday, April 18   ----   Tuesday, April 25   ----   Tuesday, May 2   ----     Tuesday, May 9 

 

Appointments are on a first-call-first-served basis.  Appointments will be taken until the schedule is full.  Messages may not be taken during appointment scheduling.  If you get a busy signal, please call back.  When appointments are full, a message will be left on the line.  

 

Athletes must bring their IHSSA Pre-Participation Physical Evaluation Form, with parent and student sections completed as well as the completed CHIRP Immunization Form and current shot record if vaccines are needed.  Click the link in the boxes below for the forms.  Forms are also  available at your participating school, the Harrison County Health Department, or online at www.hchin.org

 

 

  IHSAA Pre-participation Physical Form (5 pages)

  CHIRP Immunization Form (complete page 1)

  Immunization Screening Form (complete page 1)

  Sports Physical Flyer