Athletic Physical Appointment Request Form

Please fill out this form to schedule an appointment for an Athletic Physical.

Athletic Physical information for the 2026-2027 school year

Athletic physicals with Southern's school doctor, Dr. Todd Schmoll, will take place in the 11/12 nurses office on the following days between the hours of 7:15 am to 10:00 am:

Tuesday, June 23 – High School Boys students (9th–12th grade)
Tuesday, June 30 – High School Girls students (9th–12th grade)
Tuesday, July 14 – Middle School Girls students (7th & 8th grade)
Tuesday, July 21 – Middle School Boys students (7th & 8th grade)
Tuesday, August 4 – High School Boys and Girls students (9th–12th grade)
Tuesday, August 11 – Middle School Boys and Girls students (7th & 8th grade)

* Required Field

* Student First Name

* Student Last Name

* Student Cell Phone

* Parent Cell Phone

* Student Email Address

* Confirm Student Email Address

* Parent Email Address

* Confirm Parent Email Address

* Student Grade for 2026-2027 School Year

* Select Appointment Date

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