08/01/25- Victoria ISD: 3rd Annual Prepare for Success Back to School Event: Sports Physical Registration

Sports Physical Pre-Registration
Sports Physicals will be completed by Victoria Community Health Center at no cost.

A MEDICAL HISTORY FORM must be filled out every year. A parent or guardian should fill out the form for the student to join school activities. A sports physical determines if a person can participate in activities safely. It is not a substitute for a general health maintenance exam.

Legal Authorized Representative, Parent, or Caregiver must be present the day of the Sports Physical exam.

Fill out this form to make an appointment during the back-to-school event on Friday, August 1, 2025.
Student's information
Student's Name*

First NameLast Name
Sex*
Age*
Date of Birth*

MonthDayYear
Date
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number*
Grade*
School*
In case of an emergency, contact:
Name*

First NameLast Name
Relationship*
Cell phone number*
Please enter a valid phone number.
Work phone number*
Please enter a valid phone number.
Email*
example@example.com
Do you acknowledge that the participant must be accompanied by their legal authorized representative, guardian, or parent?*

YesNo
Select your appointment time

Please arrive 10 minutes before your scheduled appointment time.
Appointment*
If you have questions, please contact Martina Espinoza at mespinoza@chcsct.com or 361-576-2110 ext 1035
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Sports Physical Pre-Registration