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Physicals to be Held at the Nelson and Superior Clinics

Make Your Appointment Today!

Dana Epley on March 01, 2019

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All students entering kindergarten and seventh grade, as well as all students participating in either junior high or senior high athletics, are required to have a physical. Students are asked to turn in all required forms to their respective school office by August 1st of the upcoming school year.  Forms that are required include:

ALL KINDERGARTNERS, 7TH GRADERS & OUT-OF-STATE NEW STUDENTS:

• Medical History & Physical Form

All Students:

• Health Information & Tylenol Administration Permission
• Emergency Contact Information (Only 1 per family/location)
• Student Handbook Signature Form
• Permission for Students to have Prescription Medication at School:  ONLY NEEDS TO BE FILLED OUT IF YOUR CHILD TAKES PRESCRIPTION MEDICINE ON A DAILY BASIS WHILE AT SCHOOL!

Athletic Required Participation Forms for Grades 7 - 12:

• NSAA SPORTS PHYSICAL FORM - updated 5/20/19
• Athletic Handbook Signature Form

Each of the forms are linked above.   

ALL FORMS BE TURNED IN TO THE SCHOOL OFFICE NO LATER THAN AUGUST 1ST.

The Superior Family Medical Center will be holding physicals for our students at both the Nelson and Superior Clinics on the dates/times listed below:

IF PLANNING TO USE THE SUPERIOR OR NELSON FAMILY MEDICAL CENTER, PLEASE CALL (402) 879-4781 FOR AN APPOINTMENT.

• Cost:   Sports physicals are $25 on the above dates only and payment is due at the time of the physical. 
• An EKG can be performed for an additional discounted rate of $15 to those interested. 
• Please indicate when calling to make the appointment whether or not the athlete wants an EKG. 
• Providers say each athlete should have one EKG performed during their career; if the athlete has had one EKG and it was normal, they do not necessarily need another EKG.  
• UNDER NO CIRCUMSTANCES  will sports physicals be turned into any insurance company (including state agencies such as Medicaid—Nebraska, Total Care, WellCare, or United HealthCare Community Plan) as a wellness exam. 
• If you desire the student athlete to have a wellness exam benefit paid by your insurance company, you will need to schedule a well-child exam during regular office hours outside of the designated sports physicals days. 
• In addition, if your student athlete has a condition or injury that needs to be addressed, the athlete will need to schedule a separate visit—it will not be addressed at the sports physical.

• Athlete’s physical form with the athlete/parents’ portions completed before you arrive for your appointment.  **THIS IS VERY IMPORTANT**  If the form is not completed prior to your arrival, you will be asked to complete the form before you will be checked in for your appointment:
• A urine specimen with the container marked with the athlete’s name.
• Athlete’s complete immunization record.
• Please wear loose fitting clothing such as a T-shirt and shorts.

• 7th graders are required to have a tetanus shot (Tdap)—this will be administered unless the parent notifies us differently. 
• If athlete is covered under state agency such as Medicaid—Nebraska Total Care, WellCare, or United Healthcare Community Plan,  they will be required to obtain this immunization through the Immunization Clinic.  If athlete is uninsured, it is highly recommended, due to cost, to also obtain this through the Immunization Clinic. 
• Optional vaccines include Gardasil and Menatra.  If you would like additional information on these vaccines to help you make an informative decision on whether or not you would like your to child vaccinated, please do not hesitate to contact our office. The Gardasil series is highly recommended in male and female children and is indicated at age 9.  Menactra is a safe and effective vaccine to protect against meningitis.