Group sports physical inquiry Name * First Name Last Name Email * Are you interested in scheduling a group sports/camp physical clinic for at least 10 children * Yes No Are you located in the state of Kansas? * Yes No What school district or specific school are you associated with? * Would you be the direct contact person for this clinic? Yes No If no, please provide contact name and information. Are you interested in Urgent Care at Home coming to your school or practice facility to complete the physicals? Yes No We are anxious to work with you and would love to hear more about your clinic. Please provide any pertinent information regarding your group. Football team, co-ed clinic, club sports team, fall sports only, etc. Are you a returning client? If yes, thank you for returning, and please provide your school or club information below. * Thank you! We will be in touch soon.
