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City High School

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Athletics Health Forms

HEADS UP: Concussion in High School Sports Fact Sheet and Form

HEADS UP Concussion Fact Sheet.pdf 131.46 KB (Last Modified on August 22, 2022)

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HEADS UP: Concussion in High School Sports Fact Sheet and Form (Spanish)

HEADS UP Concussion Fact Sheet - Spanish.pdf 133.7 KB (Last Modified on August 22, 2022)

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Iowa Athletic Pre-Participation Physical Examination

Preparticipation-Physical-Form-Update-FINAL_0815.PDF.pdf 38.86 KB (Last Modified on June 4, 2019)

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Iowa Athletic Pre-Participation Physical Examination (Spanish)

Preparticipation-Physical-Form-Spanish-0614.pdf 21.15 KB (Last Modified on June 4, 2019)

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Pre-participation Sports Physical is required every year. Have your doctor complete the state sports physical form when you have your yearly physical examination from the doctor.

Resources for Getting Sports Physicals

If you do not have a doctor, but you have health insurance
If you do not have a doctor, but you have health insurance (for example, Medicaid, MediPass, Wellmark/BCBS, United Health, UMR, etc.) you can make an appointment at:
- Pediatric Associates of UI Children’s Hospital, 605 E. Jefferson St, Iowa City 52245
  - (319) 351-1443
- Pediatric Associates of UI Children’s Hospital, 2591 & 2593 Holiday Rd, Coralville 52241
  - (319) 339-1231
- UI Health Care Pediatric Clinic- Iowa River Landing, 105 E. 9th St, Coralville 52241
  - (319) 467-2000
- UI Health Care South East, 1130 S Scott Blvd, Iowa City 52240
  - (319) 467-6789
- UI Health Care Family Practice, 200 Hawkins Dr- Pomerantz Pavillion, Iowa City 52242
  - (319) 384-7222
- UI Health Care North Liberty, 3 Lions Dr, North Liberty 52317
  - (319) 467-5050
- UI Children’s Hospital Pediatrics North Liberty, 1765 Lininger Lane, North Liberty 52317
  - (319) 467-7888
- Mercy Pediatric Clinic, 2769 Heartland Dr Suite 100, Coralville 52241
  - (319) 688-7337
- Mercy Family Medicine of Iowa City, 269 North 1st Avenue, Iowa City 52245
  - (319) 351-6852
- Mercy Family Medicine of West Iowa City, 1067 Ryan Ct, Iowa City 52246
  - (319) 688-7999
- North Liberty Family Health Center, 585 W. Cherry St, North Liberty 52317
  - (319) 626-6066
- Mercy Family Medicine of Coralville, 2055 Oakdale Rd, Coralville 52241
  - (319) 248-0037
If you do NOT have health insurance

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