Student Physical Forms

5-page Physical Form to take to your doctor or to complete and return for the SPX Physical Day on May 16, 2019.
 St. Pius X will be offering student physicals on

Thursday, May 16, 2019

Check In - Breezeway in front of cafeteria beginning at 3:15 PM 

All students must pre-register by Thursday, May 9, 2019 to have their physical taken at St. Pius X on May 16. 


  • Pre-Registration Deadline: Thursday, May 9, 2019 (you pre-register by filling out, returning the form to St. Pius X & paying the fee.)
  • Physicals: Thursday, May 16, 2019
  • Cost: $35.00 (SPX students will be charged on FACTS;  Non-SPX students should pay via this link. Payment Link)  (Non-Refundable)
  • Time: 3:15 - 5:00 PM  - No physical will begin after 5:00 p.m.
  • Location:  Breezeway in front of cafeteria

How to Pre-Register for the Physicals 

  • Download the 5-page Physical Form.
  • Parents and Students Complete and Sign the Following Pages
    • Emergency Contact (page 1)
    • Medical History  (page 2)
    • Concussion Awareness  (page 5)
  • Our SPX doctors will fill out the remaining pages. (pages 3 & 4) Just turn these pages in blank.
  • Return all 5 pages to Melinda Martin or USPS by May 9, 2019.
    • St. Pius X students, will be charged $35.00 for the physical on FACTS.  (Non-Refundable)
    • Non-St. Pius X students, should pay at this time via this link:  2019 Physicals Payment (Non-Refundable)
  • SPX students are pre-registered once all 5 pages are received.  (Non-SPX students, must also pay $35.00 online in order to be pre-registered.) 
  • All fees are non-refundable. 

Who Needs to Have a Physical of File at St. Pius X? 

  • All Athletes Participating in an Athletic or Dance Program at St. Pius X
    • High School and Middle School Athletes
  • All NEW Students
    • Freshman
    • All other grade levels for new incoming students  

Note:  All student athletes, including middle school students who participate in the St. Pius X athletic program, are required by the Georgia High School Association (GHSA) and St. Pius X to have an up-to-date physical on file at St. Pius X before they can try out, practice or participate in any sport.  Physicals performed prior to April 1, 2019 are not valid for the 2019-2020 school year.

If you choose to have your student athletes’ physical done by your own doctor, you MUST take the  5-page  student physical form to your doctor.  Parents and students should complete pages 1, 2 &5. Your doctor should complete pages 3 & 4.  All 5 pages must be returned to  

This is the only acceptable form.  For further information, please contact Melinda Martin at