PCDS Physical Exam Scheduling 2020-21
In preparation for the 2020-21 school year, all new and returning students are required to have a physical exam performed after January 1, 2020 (after March 1, 2020 for Upper School athletes). Physical exam forms from prior physicals cannot be accepted.

Please note this form must be submitted for each PCDS student in your household. If you have any concerns, contact Mikenna Mack in the Health Center at mikenna.mack@pcds.org.
Name of parent completing this form: *
Email address of parent completing this form: *
Student's first name: *
Student's last name: *
Student's grade for the 2020-2021 school year: *
Have you made a physical exam appointment? *
In what month is your appointment scheduled? *
Does your child need any vaccinations? *
Would you like a member of the Health Center team to reach out to you? *
To answer questions, discuss your child's health situation, etc.
If you responded Yes to the question above, what is your best contact number?
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