Lakeside North Family Medicine

Lakeside North Family MedicineLakeside North Family MedicineLakeside North Family MedicineLakeside North Family Medicine
  • Home
  • About Us
    • Our Clinic
    • Our Providers
  • Services
    • Primary & Urgent Care
    • DOT Examinations
    • Weight loss
    • School/Sports physicals
    • COVID Testing
    • Vaccinations
  • EMSCULPT NEO
  • EMSELLA
  • Forms
    • New patient packet
    • Medical release form
    • Sports Physical
    • DOT exam form
    • PEEHIP Wellness
    • Bus Driver Physical
    • Vaccine Info Forms
    • Workman's Comp Form
  • Patient Portal
  • Cosmetic Payment Plans
  • Pay Now
  • Contact us
  • Semaglutide

Lakeside North Family Medicine

Lakeside North Family MedicineLakeside North Family MedicineLakeside North Family Medicine
  • Home
  • About Us
    • Our Clinic
    • Our Providers
  • Services
    • Primary & Urgent Care
    • DOT Examinations
    • Weight loss
    • School/Sports physicals
    • COVID Testing
    • Vaccinations
  • EMSCULPT NEO
  • EMSELLA
  • Forms
    • New patient packet
    • Medical release form
    • Sports Physical
    • DOT exam form
    • PEEHIP Wellness
    • Bus Driver Physical
    • Vaccine Info Forms
    • Workman's Comp Form
  • Patient Portal
  • Cosmetic Payment Plans
  • Pay Now
  • Contact us
  • Semaglutide

Sports Physical

Please be sure to download and print both pages

The first page needs to be filled out prior to examination. The second page will be filled out by our nurses and physician.

DOWNLOAD PDF

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WE WILL BE CLOSED 04/19/25 IN THE OBSERVANCE OF THE EASTER HOLIDAY!



NOW offering in-office Semaglutide and Tirzepatide injections for weight loss as well as body sculpting with EMSCULPT NEO and Exion, RF Microneedling and incontinence treatments with the EMSELLA chair.  For cosmetic payment plans and more information check

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