SERVICE
Register for Sports Physicals at a Community Health Programs for Youth Clinics (CHPY)
Please fill out these forms before your appointment.
What to know
Cost
FreeParent/Guardian Signature Required
Make sure your parent/guardian has signed these forms
For Medi-Cal, Health Network Patients and those with no insurance only
What to do
Download and print forms
Completely Fill them out
Make sure parents sign it
Bring completed form to your appointment
Partner agencies
What to know
Cost
FreeParent/Guardian Signature Required
Make sure your parent/guardian has signed these forms