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Physical Exam Intake Form

Physical Exam Intake Form

Get your child’s sports physical + yearly check-up at no cost when using insurance or Medicaid!* If you only need a sports physical, the cost is only $35.

Physical Exams Appointment Request Form

Patient & Contact Information


Appointment Details


Location Details


Urgent Care for Kids | Cedar Park

905 East Whitestone Boulevard, Suite B, Cedar Park, TX 78613

Practice Partner: Delbert Latham, FNP-C

Urgent Care for Kids | Round Rock

3750 Gattis School Rd, Suite 900, Round Rock, TX 78664

Practice Partner: Josie Hulgan, CPNP-PC/AC

Urgent Care for Kids | Fort Worth - Hulen

3000 S Hulen St, Suite 180, Fort Worth, TX 76109

Urgent Care for Kids | Mansfield

2251 Matlock Rd, Suite 103, Mansfield, TX 76063

Urgent Care for Kids | McKinney

6091 W University Dr Suite 108-B, McKinney, TX 75071

Practice Partner: Jason Carlson, PA-C

Urgent Care for Kids | Brookhollow

4528 Dacoma Street, Suite 100, Houston, TX 77092

Urgent Care for Kids | Channelview

15727 Wallisville Road, Suite 150, Houston, TX 77049

Urgent Care for Kids | Conroe

215 S Loop-336 W, Suite 600, Conroe, TX 77304

Urgent Care for Kids | Cy-Fair

6807 Hwy 6 N, Unit 0054, Houston, TX 77084

Urgent Care for Kids | Humble

20418 US-59, Suite A, Humble, TX 77338

Practice Partner: Charla Reid, APRN, CPNP-PC

Urgent Care for Kids | Katy - Cinco Ranch

23730 Westheimer Pkwy, Suite N, Katy, TX 77494

Practice Partner: Stacey Alexander, MSN, APRN, CPNP-PC

Urgent Care for Kids | Katy - Morton Ranch

22720 Morton Ranch Road, Suite 150, Katy, TX 77449

Practice Partner: Jade Makarenko, MSN, CPNP-BC

Urgent Care for Kids | Pearland

2803 Business Center Drive, Suite 118, Pearland, TX 77584

Practice Partner: Bridget Heard, FNP-BC

Urgent Care for Kids | Sugar Land

15551 Southwest Freeway, Sugar Land, TX 77478

Practice Partner: Marili Jackson, MSN, APRN, CPNP- AC/PC

Urgent Care for Kids | Tanglewood

1814 Fountain View Drive, Houston, TX 77057

Urgent Care for Kids | Webster

19325 Gulf Freeway, Suite 180, Webster, TX 77598

Practice Partner: Dr. Jessica Moore, MD, FAAP

Urgent Care for Kids | Willowbrook

17395 Tomball Parkway, Suite 3A, Houston, TX 77064

*Some health plans, including Medicaid/CHIP plans, may cover the full cost for one well-child visit per year for eligible patients. Every health plan is different, so check with your health plan carrier for coverage details. Families without insurance are offered a self-pay rate. For more information about costs, call us at (682) 267-0452.*