COMMUNITY UNIT SCHOOL DISTRICT
Terry Cochran, RN –LHS & Parkview Jr. High School Nurse
618-943-6161
Jennifer Foster, RN-Parkside Elementary School Nurse
618-943-3992
WHO: Lawrence County Memorial Hospital (LCMH) Rural Health Clinic:
Dr. Jeffery Smith, Melissa Overton PA-C, Tanna McCullough MSN,CNP
and Anastasia Ralston MSN,CNP
WHAT: “Athletic Physicals” for the 2013-2014 school years
WHEN & WHERE: During the school day
Wednesday April 10, 2013 at LHS
Tuesday April 16, 2013 at Parkview Jr. High School
Wednesday April 24, 2013 at Parkside Elementary
COST: FREE
LCHM is coming to our schools to do FREE athletic physicals.
In order for your athlete to receive this free physical you must:
1. Complete and sign the “Health History” (the top portion of the attached physical form).
2. Complete and sign LCMH consent form
3. Completed forms must be returned to your school’s nurse office by Friday March 22, 2013.
A parent/guardian is not required to be present at time of physical.
If your athlete is to have a mandated physical for grades 6th or 9th, this physical will meet that requirement.
REMINDER:
• March 22nd-Deadline for the required forms listed above. If forms are not completed and signed by parent or guardian the physical will not be performed.
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