Return to Headlines

CIPPE Form and Recertification Form

 Fall Sports

Monday, June 6 (HS) @ 11:15 am

Wed, June 8 (MS) @ 11:15 am  ( a late bus will be provided for students to get home)

 

Winter Sports

Tuesday, October 25 (HS)

Tuesday, November  1(MS)

 

Spring Sports

Tuesday, February 7, 2017 (HS)

Tuesday, February 14, 2017 (MS)

 
Sports Physical Packet (click on this link to download form)
  • This packet is for first time participant in a interscholastic sport for this school year.
 

Recertification Packet (click on this link to download form)

  •  This packet is for students participating in their 2nd or 3 interscholastic sport for the school year.  This form does NOT need to be completed by the doctor unless the athletic trainer has requested it. 


 In order for a student to participate in interscholastic athletics grades
7 through 12 offered at Susquehanna Township High School AND
Middle School (including cheerleading), the student MUST have a
pre-participation physical examination by a certified medical physician
no more than six weeks prior to the legal starting date for that season.
 
Only the  PIAA CIPPE (Comprehensive Intitial Pre-Participation Physical Evaluation) form
located on the schools website or in the main office, may be used for athletic participation
Forms should be completed by a licensed medical physical and returned to the main
office at the high school or middle school.  All forms will be reviewed by the Athletic Trainer
prior to their participation. 
 
 
Dear Parents,
Below is a list of physician offices that perform sports physical if you have missed the school provided day.  Or are unable to get into your primary care physician.  I hope this is a helpful resource for you.
 
 

Pinnacle Sports Medicine (Dr. Michael Cordas- team physician)

4310 Londonderry Rd.

The Bloom Building

Harrisburg, PA 17109

717-791-2620

(You must schedule an appointment-  cost $25)

 

 

Patient First

5125 Jonestown Rd

Suite 105,

 PA 17112
(717) 943-1566

(Walk-in service,  cost- $20 (if insurance does not cover )

Open 8a-10p mon-fri

 

 

Aspire Urgent Care and Family Care

49 Prince St.

Harrisburg, PA 17109

717-901-3440

Walk-in Service, cost, $40

Open 8a-8p, mon-fri and 10-6 sat-sun

 

CVS Pharmacy, Minute Clinic (across the street from the high school)

550 N. Progress Ave.

Harrisburg, PA 17109

Walk-in service and appointments, cost $

Open 8:30a-7:30p

 
 



CLOSE