If your child needs a physician’s permission to take part in physical school activities, please complete your portion of this Physical Form. Complete the form in ink or fill it out online then print it and bring to your well-care appointment.

There is a $10 charge for forms which are not provided to MDPA at the time of the patient’s visit.  If a letter is needed, there will be a $30 fee. Please allow at least 48 hours for us to complete your child’s form. We’ll call you when it’s complete. Please note: Your child will need to have a well visit within the past year before we can complete this form.

"The doctors are great. They pay attention to my children and answer all my questions. I never feel rushed with them."

- Cyndi A

        Super Docs 2017                         Suburban Parent Best of 2017

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