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
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?
My child has already had a physical exam
In what month is your appointment scheduled?
Pediatrician is not currently doing well exams
Does your child need any vaccinations?
I don't know
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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This form was created inside of Phoenix Country Day School.