The Bentonville School District and Northwest Medical Center are partnering to provide
our athletes who participate in sanctioned sports free physicals. This year, both high schools will
be sponsoring a day for you to receive your free physical.
Due to the current Department of Health guidelines and the numerous athletes, you will
be required to follow the AAA COVID-19 guidelines at check in. Instructions will be provided
upon your arrival at your school. The following are the scheduled time frames for each school to
attend physicals:
July 14th
BENTONVILLE HIGH SCHOOL
MAIN GYM ENTRANCE
8am - 10am Fulbright JH
10am - 12pm Washington JH
12:30pm - 3pm Bentonville HS
3pm - 4:30pm OPEN
Masks will be required for every individual attending physicals (masks WILL NOT be
provided if you do not have one). All individuals will also be required to complete a COVID-19
symptom screening form. Please have your athlete wear athletic attire. Please bring a paper
copy of the physical form with the history portion filled out and signed by a parent/guardian.
If you have any questions please contact:
BHS
Ainsley Sumpter
ainsleysumpter@bentonvillek12.org
Drew Bombardiere
dbombardiere@bentonvillek12.org
Frequently Asked Questions
How long is a physical valid?
Per AAA guidelines, a physical is valid for 15 months after the date the physician
documented on the PPE. (i.e. If your physical was signed in Jan. 2019, it will expire April 2020)
Where can I get a physical exam form?
Click Here
Does a parent or guardian need to be present?
An athlete 18 years of age or older does not need a parent/guardian present for their
physical exam.
An athlete 18 years old or younger must have a paper copy of the history page of the
PPE completed and signed by a parent or guardian in order to be seen without a parent or
guardian present.
IF you do not have your paper copy of the history page signed by a parent/guardian you
will be turned away.
Who can come with me?
Please limit ONE parent/guardian per athlete.
What if i have athletes at a junior high and another at the high school, which time slot
should we attend?
You may choose which time slot works best for your schedule to bring your athletes. No
need to come two different times.
What should I wear?
Please wear athletic attire (athletic bottoms, athletic top, and sneakers).
If I wear glasses do I need to wear them?
Yes. You will need to be able to read an eye chart so please wear your contacts or bring
your glasses so you will be able to pass that portion of the exam.
What if I am unable to attend the scheduled date?
You may receive a physical exam from your family doctor or any urgent care center
where physicals are offered. Northwest Medical Center offers physical exams at their urgent
care centers for a $25 charge.
What do I do with my completed physical?
Upload a clear picture of your completed physical exam form to your dragon fly account.
If you do not have a DragonFly Max account please follow this link to create your account.
