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Rochester Community Schools Sports Physicals 2021-2022 SY

Sports Physicals 2021

Ascension Providence Rochester Hospital will be conducting sports physicals for the 2021-2022 school year at Stoney Creek High School and Rochester High School. Please review and sign up for the time slot you would like. Be aware of the date, time, and location of your appointment. Cost is $30/patient.

Prior to your appointment, please fill out the following sections of the sports physical card: health history, emergency contact information, demographic information, student/parent participation consent, insurance statement, consent to treat, and concussion information. Sports physical cards can be found at the following website, (Copies can be made available upon request,):

https://www.mhsaa.com/portals/0/Documents/health%20safety/physical2page.pdf

*Please note: The Michigan High School Athletic Association requires a completed sports physical dated AFTER April 15th, 2021 this year for the 2021-2022 school year. The previous health questionnaire is no longer valid.*

Created by:   Lizzy Landa
 
Already signed up? You can change your sign up.

Date (mm/dd/yyyy) Location Time (EDT) Physical Appointment
07/13/2021 (Tue.) Stoney Creek High School Main Gym  4:00pm - 4:15pm  

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4:15pm - 4:30pm  

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4:30pm - 4:45pm  

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4:45pm - 5:00pm  

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5:00pm - 5:15pm  

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5:15pm - 5:30pm  

Patient Name (4)

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Patient's Name (2)

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5:30pm - 5:45pm  

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5:45pm - 6:00pm  

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6:00pm - 6:15pm  

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6:15pm - 6:30pm  

Patient Name (4)

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Patient's Name (2)

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6:30pm - 6:45pm  

Patient Name (4)

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Patient's Name (2)

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6:45pm - 7:00pm  

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Patient's Name (2)

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7:00pm - 7:15pm  

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7:15pm - 7:30pm  

Patient Name (4)

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Patient's Name (2)

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7:30pm - 7:45pm  

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07/14/2021 (Wed.) Stoney Creek High School Main Gym  4:00pm - 4:15pm  

Patient Name (4)

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All slots filled
Kendall Allen (2)
Kendall and Addison Allen
Michele Pridoehl
Nick Pridoehl
Carlos Rosales

Patient's Name (2)

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Andrea Yakima
Copper Yakima
Karie Vigeant
Kylah Vigeant
4:00pm - 7:45pm  

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3 of 4 slots filled
Angela DiBartolomeo
Brendan DiBartolomeo
carson palmer (2)

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Christina Earley
Lilliana Bjelica
Kate Wydeven
Dominic Wydeven
4:15pm - 4:30pm  

Patient Name (4)

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Libby Smith (2)
Haley and Jameson
Stacie Batur
Nolan + Delaney Batur
Joe Murphy

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1 of 2 slots filled
Adam Rayce
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4:30pm - 4:45pm  

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3 of 4 slots filled
Kimberly Murray (2)
Joseph & Allison Murray
Maddy Tonti
248-310-5408

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All slots filled
Keli Thakur (2)
Diya & Dominick Thakur
4:45pm - 5:00pm  

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2 of 4 slots filled
Lindsey Luhmann
Seth + Ellie Luhmann
Amy Feldkamp
Rowan Feldkamp

Patient's Name (2)

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1 of 2 slots filled
Amy Feldkamp
Kieran Feldkamp
5:00pm - 5:15pm  

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Liz Kramer
Jon-Ross Kramer
Caiden Brown
Caiden Brown
Amanda Younggren
Cassandra Younggren
Nick Williams

Patient's Name (2)

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1 of 2 slots filled
Karla English
Ben English
5:15pm - 5:30pm  

Patient Name (4)

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Lynsay McCarthy (2)
Jayden McCarthy Mikayla McCarthy
LAUREN palmer (2)

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5:30pm - 5:45pm  

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Jennifer Smith
Jackson Smith
Jennifer Smith
Riley Smith
Melissa Beers (2)
Gage and Gideon Beers

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Mike Ryan (2)
Jake and Sydney Ryan
5:45pm - 6:00pm  

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3 of 4 slots filled
Jennifer Lagerbohm (2)
Oskar and Oliver
Lori C
Michael C

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6:00pm - 6:15pm  

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3 of 4 slots filled
Rita Mazzuchi
Zachary Mazzuchi
Amanda Soldan
Amanda Soldan
Jessica Soldan
Jessica Soldan

Patient's Name (2)

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6:15pm - 6:30pm  

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Jennifer Metzger (2)
Lily Metzger & Ryan Metzger
Kristina Gojcaj (2)
Sofia Gojcaj and David Gojcaj

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6:30pm - 6:45pm  

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Lorena Sierra
Ananya Prashar
Zachary Rowland
Leonid Balabanov
For Daniel Balabanov

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Cyrene Estrellado
Christian Estrellado
Jill Banfield
Clara Banfield
6:45pm - 7:00pm  

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3 of 4 slots filled
Renee Perkins
A. Perkins
Lilley Bosley
Lilley Bosley
Ryan Schumacher

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7:00pm - 7:15pm  

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Carrie Smith
Kaylie Smith
Lillian Putman
Louis Putman
Owen Putman

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7:15pm - 7:30pm  

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2 of 4 slots filled
Abhinay Mundrigi
Abhinay Mundrigi
Nick Gulisano

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7:30pm - 7:45pm  

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3 of 4 slots filled
Maksim Sviridov
Maksim Sviridov
Madison White
Zack Gittens

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1 of 2 slots filled
matheus Ivanov
matheus
07/15/2021 (Thu.) Rochester HS Mall Area  4:00pm - 4:15pm  

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Alivia Sirianni
Joseph Sirianni
Luke Braun
added by Lizzy
Gina Lee
Grace Kim

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Julie Teknos (2)
Nicholas and Evangelina Teknos
4:15pm - 4:30pm  

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Jerry Jehle (2)
Emerson Jehle and Chet Jehle
Taylor Stepnes
Brendan Green

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Sarrah Tikiwala
Melissa Vitale
Viviana Vitale
4:30pm - 4:45pm  

Patient Name (4)

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Drew Terenzi
Drew Terenzt
Daniel Kabel
Danielle Osterholzer
Grace Osterholzer
Madison Kalvelage

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Sarah Gomola
Grady Gomola
Sarah Gomola
Camdyn Gomola
4:45pm - 5:00pm  

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Elizabeth Dyki
Matt Dyki
Wanja Kamau
Carson Cagigal
Carson Cagigal

Patient's Name (2)

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Juliet Jones
Hyunmin Choe
Yujin Choe
5:00pm - 5:15pm  

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3 of 4 slots filled
Kristen Lutsch
Avery Lutsch
Heather Rapp
Eli Rapp
Emma Marton

Patient's Name (2)

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5:15pm - 5:30pm  

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3 of 4 slots filled
Jennifer Monette
Erin Monette
Nicholas Barton
Heather Rapp
Ethan Rapp

Patient's Name (2)

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Patty Schultz (2)
Vivian & Evelyn Schultz
5:30pm - 5:45pm  

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3 of 4 slots filled
Tracey Jewell (2)
Elizabeth Jewell & Braylon Jewell
Natalino Nori
Natalino Nori

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Natalie Thorson
Natalie Thorson
Weifang ji
5:45pm - 6:00pm  

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Nithin Gutta
Madison White
Pauline Janow
Giuliana Janow
Lauren Teats
Lauren T

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John Langsdorf (2)
Henry Langsdorf & Sam Langsdorf
6:00pm - 6:15pm  

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Olivia Nava
Kelly Nikolic
Madison Nikolic
Tohgo Ishida
Angela Ephrem

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Sanika Ogale
Shivani Ramakrishnan
6:15pm - 6:30pm  

Patient Name (4)

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Amanda Kowalski
Tyler Scott
Jen N French
Katelyn French
Laura Dyki
Jillian Van Stee

Patient's Name (2)

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1 of 2 slots filled
Drew Signorello
Drew Signorello
6:30pm - 6:45pm  

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Tamara Johnson
Grace Johnson
Mehtaab Buttar
Jennifer Thor
Jacob Thor
Janie Perkins

Patient's Name (2)

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6:45pm - 7:00pm  

Patient Name (4)

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Craig Willian
kiley willian
Ethan Alt (2)
Ian Mertz

Patient's Name (2)

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7:00pm - 7:15pm  

Patient Name (4)

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All slots filled
Gakuto Morikawa
Yagumo Morikawa
Aimee Symington
Bailey Symington
Reynold Wei

Patient's Name (2)

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1 of 2 slots filled
Maksim Sviridov
Maksim Sviridov
7:15pm - 7:30pm  

Patient Name (4)

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2 of 4 slots filled
Adam Glinski
Owen E Smith
Owen E Smith

Patient's Name (2)

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1 of 2 slots filled
Kimberly Murray
Owen Murray
7:30pm - 7:45pm  

Patient Name (4)

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Brett Wyckhuyse
Zaid Siddiqui
Shanae Morris
Sandra Cleveland
Lena Cleveland

Patient's Name (2)

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All slots filled
Kirsten Wood
Isaac Wood
Joshua Hessian
Joshua Hessian
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