Physical Examination Form

  1. UIL Pre-participation Physical Evaluation Form https://www.uiltexas.org/files/athletics/PrePhysFormRvsd2.21.pdf   (Espanol) https://www.uiltexas.org/files/athletics/2020-21-PrePhysForm_Spanish.pdf
  2. Physical Form Texas Association of Private and Parochial Schools (TAPPS) (Austin) Austin Waldorf School, Brentwood Christian School, Hill Country Christian School, Hyde Park Baptist High School, Regents School of Austin, St. Dominic Savio Catholic High School, St. Michael’s Catholic Academy, San Juan Diego Catholic High School, Veritas Academy. (Round Rock) Concordia Academy, Round Rock Christian Academy. (Cedar Park) Summit Christian Academy. Trinity Episcopal (Page 1).
  3. UT Austin Health Clearance for Students Planning to Study/Intern Abroad
  4. University of St. Augustine – For Health Sciences – Healthcare Provider Certification
  5. Huston-Tillotson University Athletic Forms
  6. Huston-Tillotson University Admission Health Form Physical Examination
  7. Texas State University Pre-Participation form
  8. Concordia Lutheran College (Austin)(Old Form),....Concordia Lutheran College (Austin) (New Form 2021) https://athletics.concordia.edu/documents/2021/6/7//2021_22NewPPE.pdf?id=2114
  9. POP Warner Football Cheer Physical Form https://ppwfootball.org/wp-content/uploads/2021/04/2021-physical-fitness-medical-history-form-1.pdf
  10. CTYFL Sports Physical Form
  11. Edward’s University Athletic History Form
  12. Edward’s University Athletic Physical Form
  13. ACC Austin Community College Health Career Physical Form
  14. CYBERTEX Vocation Nursing Medical Clearance and Physical Examination Form
  15. National American University (School of Nursing Physical Examination Form)
  16. Great East Austin Youth Association Physical Form *G. E. A. Y. A.*
  17. Department of Transportation Medical Examination Form. for Commercial Drivers License (CDL) (DOT) Physical (MCSA 5875) Form
  18. DOT / CDL Medical Examiners Card
  19. UIL Athletic Forms https://www.uiltexas.org/files/athletics/PrePhysFormRvsd2.21.pdf   (Espanol) https://www.uiltexas.org/files/athletics/2020-21-PrePhysForm_Spanish.pdf
  20. Austin ISD Athletics Pre-Participation Form https://www.austinisd.org/sites/default/files/dept/athletics/docs/2021-22%20Physical%20Form%20English.pdf
  21. Austin ISD Hoja De Participacion Atletica (Austin ISD Athletics Participation Form Spanish) https://www.austinisd.org/sites/default/files/dept/athletics/docs/2021-22%20Physical%20Form%20Spanish.pdf
  22. Bastrop Physical Pre-Participation Examination Form https://www.bisdtx.org/cms/lib/TX02218757/Centricity/Domain/45/PrePhysFormRvsd2.21.pdf
  23. Dripping Springs ISD Pre-Participation Physical Examination Form https://www.dsisdtx.us/cms/lib/TX02204855/Centricity/Domain/438/UIL%20Preparticipation%20Physical%20Eval%20Form%202020.pdf
  24. (West Lake) Eanes ISD Athletics Pre-participation Physical Examination Form https://resources.finalsite.net/images/v1617135957/eanesisdnet/vwyzwncgdqkv7gofxvtw/Physical.pdf
  25. Georgetown ISD Athletics Physical Pre-Participation Form
  26. Hayes Consolidated ISD Physical Pre-Participation Form (English)Hayes CISD (Spanish) https://www.uiltexas.org/files/athletics/PrePhysFormRvsd2.21.pdf   (Espanol) https://www.uiltexas.org/files/athletics/2020-21-PrePhysForm_Spanish.pdf
  27. Hutto ISD Athletic Physical Pre-Participation Form https://www.hipponation.org/site/handlers/filedownload.ashx?moduleinstanceid=22969&dataid=33912&FileName=2020_UIL_Physical_Form_.pdf
  28. Lake Travis ISD Pre-participation Physical Form

https://www.ltisdschools.org/cms/lib/TX01800016/Centricity/Domain/25/2019-2020%20Athletic%20Physical%20Form.pdf

  1. Leander ISD Athletics Pre-Participation Form https://drive.google.com/file/d/1H0l2T1_6fRgv08c_zv-4GzTzGiJp4kWt/view
  2. Manor ISD Athletics Physical Pre-Participation Form(English)    https://www.manorisd.net/site/handlers/filedownload.ashx?moduleinstanceid=157&dataid=10676&FileName=2021-2022%20Physical%20Form.pdf

Manor ISD Athletics Physical Pre-Participation Form  (Espanol)  https://www.manorisd.net/site/handlers/filedownload.ashx?moduleinstanceid=157&dataid=10677&FileName=2021-2022%20Physical%20Form%20-%20Spanish.pdf

  1. Pflugerville ISD High School Athletics Pre-Participation Form https://www.pfisd.net/site/handlers/filedownload.ashx?moduleinstanceid=7806&dataid=25827&FileName=PrePhysFormRvsd1_10_20.pdf
  2. Round Rock ISD Athletics Pre-Participation Form https://drive.google.com/file/d/1ZHDc9-8NCIGFiYBTWDSdVbLUgZW3Grwn/view
  3. Smithville ISD Athletics Consent Pre-Participation Forms https://4.files.edl.io/f3b8/05/26/21/160907-c73baf0a-99f1-4217-b1f9-79398455469d.pdf
  4. Boy Scout Camp Physical
  5. Girl Scout Camp History & Physical
  6. Special Olympics (English)
  7. Special Olympics (Spanish)
  8. Pre-Employment Form (English)
  9. Pre-Employment Form (Spanish)
  10. Camp Physical (English)
  11. Camp Physical (Spanish)
  12. (RC Health Form 1)EMST Physical Exam Form
  13. (RC Health Form 2) History & Physical Examination 
  14. Tow Company and Tow Truck Inspection Checklist
  15. Texas Motor Vehicle License eligibility Information (DPS) (DMV)
  16. Medical Release Opinion
  17. SPE Form
  18. Texas Vision Waiver https://www.dps.texas.gov/internetforms/Forms/CDL-36.pdf
  19. Texas Limb Waiver https://www.dps.texas.gov/internetforms/Forms/CDL-37.pdf
  20. Insulin Waiver https://www.fmcsa.dot.gov/sites/fmcsa.dot.gov/files/docs/regulations/medical/422521/itdm-assessment-form-final.pdf

 

Ficha física Formularios de examen físico

  1. UIL Pre-participation Physical Evaluation Form
  2. Physical Form Texas Association of Private and Parochial Schools (TAPPS) Austin y las escuelas circundantes Formularios físicos (deportivos) de pre-participación, formulario físico de campamento, formulario de pre-empleo, DOT, formularios de examen físico CDL
  3. UT Austin Health Clearance for Students Planning to Study/Intern Abroad
  4. University of St. Augustine – For Health Sciences – Healthcare Provider Certification
  5. Huston-Tillotson University Athletic Forms
  6. Huston-Tillotson University Admission Health Form Physical Examination
  7. Texas State University Pre-Participation form
  8. Concordia Lutheran College (Austin)
  9. POP Warner Football Cheer Physical Form
  10. CTYFL Sports Physical Form
  11. St. Edward’s University Athletic History Form
  12. St. Edward’s University Athletic Physical Form
  13. ACC Austin Community College Health Career Physical Form
  14. CYBERTEX Vocation Nursing Medical Clearance and Physical Examination Form
  15. National American University (School of Nursing Physical Examination Form)
  16. Great East Austin Youth Association Physical Form *G. E. A. Y. A.*
  17. Department of Transportation Medical Examination Form. for Commercial Drivers License (CDL) (DOT) Physical (MCSA 5875) Form
  18. DOT / CDL Medical Examiners Card
  19. UIL Athletic Forms
  20. Austin ISD Athletics Pre-Participation Form
  21. Austin ISD Hoja De Participacion Atletica (Austin ISD Athletics Participation Form Spanish)
  22. Bastrop Physical Pre-Participation Examination Form
  23. Dripping Springs ISD Pre-Participation Physical Examination Form
  24. (West Lake) Eanes ISD Athletics Pre-participation Physical Examination Form
  25. Georgetown ISD Athletics Physical Pre-Participation Form
  26. Hays Consolidated ISD Physical Pre-Participation Form
  27. Hutto ISD Athletic Physical Pre-Participation Form
  28. Lake Travis ISD Pre-participation Physical Form
  29. Leander ISD Athletics Pre-Participation Form
  30. Manor ISD Athletics Physical Pre-Participation Form
  31. Pflugerville ISD High School Athletics Pre-Participation Form
  32. Round Rock ISD Athletics Pre-Participation Form
  33. Smithville ISD Athletics Consent Pre-Participation Forms
  34. Boy Scout Camp Physical
  35. Girl Scout Camp History & Physical
  36. Special Olympics (English)
  37. Special Olympics (Spanish)
  38. Pre-Employment Form (English)
  39. Pre-Employment Form (Spanish)
  40. Camp Physical (English)
  41. Camp Physical (Spanish)
  42. (RC Health Form 1)EMST Physical Exam Form
  43. (RC Health Form 2) History & Physical Examination  
  44. Tow Company and Tow Truck Inspection Checklist
  45. Texas Motor Vehicle License eligibility Information (DPS) (DMV)
  46. Medical Release Opinion
  47. SPE Form
  48. Texas Vision Waiver
  49. Texas Limb Waiver

Our Location

10102 North Lamar Blvd | Austin TX, 78753

Office Hours

Find Out When We Are Open

Monday:

9:00 am-5:00 pm

Tuesday:

9:00 am-5:00 pm

Wednesday:

9:00 am-5:00 pm

Thursday:

9:00 am-5:00 pm

Friday:

9:00 am-5:00 pm

Saturday:

Closed

Sunday:

Closed

Contact Us

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If you’re looking for a chiropractor in Austin, chiropractor in North Lamar or a Pflugerville chiropractor, you’ve come to the right place. North Lamar Chiropractic serves a wide area and is run by chiropractor Joseph H. Lones III, DC, an expert chiropractor specializing in top-quality health and wellness. Our team is committed to providing pain relief and discomfort for all your maladies and symptoms, helping you get back on track to a higher quality of life as soon as possible.

Si está buscando un quiropráctico en Austin, un quiropráctico en North Lamar o un quiropráctico Pflugerville, ha venido al lugar correcto. North Lamar Chiropractic atiende un área amplia y está dirigida por el quiropráctico Joseph H. Lones III, DC, un quiropráctico experto especializado en salud y bienestar de alta calidad. Nuestro equipo se compromete a proporcionar alivio del dolor y molestias para todas sus enfermedades y síntomas, ayudándole a volver a encaminarse hacia una mejor calidad de vida lo antes posible.