MyLVHN - PIAA Sports Physical Request

Lehigh Valley Health Network is committed to partner with you for a safe return to athletic participation throughout COVID-19. Please take advantage of our self-scheduling options through the MyLVHN portal.

All of our ExpressCARE locations have potential to evaluate patients that present with COVID - like symptoms but are strategically mitigating any risk to your student athlete through enhanced cleaning practices, safe rooming strategies, and specific footpathing at all of our facilities.

To learn more about LVHN's strict cleaning and screening protocols, please visit: https://www.lvhn.org/covid-safe-care

Please print all 10 pages of the PIAA sports physical and complete sections 1 thru 7 in advance of your appointment.

A call team representative will be in contact within 5 to 7 business days. For any scheduling related questions or concerns please contact Jeff Silliman at 484-387-8941.

***Note: PIAA Sports Physicals are intended for athletes ages 22 and under***

PIAA Sports Physical Request

Parent/Guardian Name:

Student Athlete Name(s):

Date of Birth:

Do you have siblings who need appointments scheduled at the same or adjacent times?

Yes

Primary Phone Number:

Alternate Phone Number:

Email Address:

School District / College:

Preferred Location:

Preferred Days / Times you can come in (ex. Tues/Thurs between noon and 5pm or anytime):

Request a PIAA Sports Physical