SUMNER HEALTH
  • Board of Education Employees
    • COVID-19 Information
    • Flu Clinics
    • Healow
    • Telehealth
    • Wellness Center Information
    • Flu Prevention
    • Services
    • FORMS
    • FORMS FOR NEW PATIENTS
    • Clinic Locations
    • Contact
  • Government Employees
    • COVID-19 Information
    • Flu Clinics
    • Healow
    • Telehealth
    • Wellness Center Information
    • Flu Prevention
    • Services
    • FORMS
    • FORMS FOR NEW PATIENTS
    • Clinic Locations
    • Contact

Patient Forms


​IMPORTANT: Please download, print and fill out attached files prior to appointment.

TSSAA Sports Physical Form

How to Schedule an appointment:
  • Healow app- choose "Consultation" as appointment type, under "Notes" type in Sports Physical
  • Patient Portal- choose "Sports Exam" as appointment time 
  • Call support center (855) 571.4500- advise receptionist appointment is to be scheduled for a Sports Physical
tssaa_sports_pe_form.pdf
File Size: 666 kb
File Type: pdf
Download File


Medical Information Release Form (HIPPA Release Form)

medical_information_release_form.pdf
File Size: 285 kb
File Type: pdf
Download File


Influenza Consent Form 

2020_influenza_consent_form.pdf
File Size: 149 kb
File Type: pdf
Download File


Hours

Corporate Office:
​M-F (7am-7pm)

Telephone

1-855-571-4500

Email

patientservices@onetooneppn.com
​sumnerappointments@onetooneppn.com
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  • Board of Education Employees
    • COVID-19 Information
    • Flu Clinics
    • Healow
    • Telehealth
    • Wellness Center Information
    • Flu Prevention
    • Services
    • FORMS
    • FORMS FOR NEW PATIENTS
    • Clinic Locations
    • Contact
  • Government Employees
    • COVID-19 Information
    • Flu Clinics
    • Healow
    • Telehealth
    • Wellness Center Information
    • Flu Prevention
    • Services
    • FORMS
    • FORMS FOR NEW PATIENTS
    • Clinic Locations
    • Contact