For Parents | For Local School Members

Important Forms

Download and print these forms

NOTE: consent forms and physical history forms MUST be completed and signed by a parent or legal guardian

WHO:

ATHLETES IN MIDDLE OR HIGH SCHOOL
from Des Moines area schools needing a sports physical.

WHEN:

Do to some schedule changes, we are unable to offer this service this year. The next time we will offer free school/sports physicals on our campus will be April 2010. We apologize for any inconvenience this may cause. The Des Moines University Clinic will still offer before-school physicals but they will not be free. If cost is an issue, please visit the Free Clinics of Iowa.

WHAT:

FREE SPORTS PHYSICALS
including EKGs (and ECHOs if necessary) to screen for cardiac risks. Each student must bring a completed and signed parental consent form and physical history forms (both A & B), Parents do not need to attend the event if consent form is completed. Males are advised to wear shorts and t-shirts for the exam to make it easier to do the physical. Females are advised to wear shorts and preferably a sports bra under their shirt.

WHERE:

Des Moines University's Medical Education Center,
3200 GRAND AVENUE in Des Moines.

Campus map & directions

Questions?

Call 515-271-1041 for more info.

Supported by

Letter to Parents

Dear Parent:

Des Moines University (DMU) has offered free sports physicals to local children for years. This year we will provide free physicals for athletes in middle or high school on Saturday, July 26 from 8 a.m. - 2 p.m., in DMU's Medical Education Center, 3200 Grand Avenue in Des Moines. Physicians and students from DMU have partnered with physicians and staff from Iowa Heart Center and Pediatric Cardiology, P.C., as Des Moines University TOPS (Team of Physicians for Students), to provide the exams. In addition to educational information on health topics, the event will also include free EKGs, and ECHOs if indicated. All services are free.

The EKGs and ECHOs are a pain-free screening of the heart that take only a few minutes to complete. Certified cardiologists will read the results and any unusual findings will be reported to you for follow up with your own physician. Sudden death due to heart problems is rare in young athletes, estimated at one in 200,000. Our goal is to reduce this risk even further by screening for potential cardiac problems before the sports season starts, including other heart abnormalities that are much less serious but still important for athletes to be aware of. To help improve the accuracy of the tests, it is important that the information you provide regarding personal and family history is as accurate as possible.

Each student must bring the parental consent form with them. This form along with physical history forms, both A & B, can be downloaded here. Please sign the parental consent form as we cannot do the exam without a parent's signature. All males are advised to wear shorts and t-shirts for the exam to make it easier to do the physical. All females are advised to wear shorts and preferably a sports bra under their t-shirt.

If you have any questions, please call 515-271-1041 for more info.

Sincerely,
Nancy H. Thompson
Director, Community Relations at Des Moines University

Letter to Local Members:

Dear Local School Member:

The EKGs and ECHOs are a pain-free screening of the heart that take only a few minutes to complete. Certified cardiologists will read the results and any unusual findings will be reported for follow up with the student's physician. Sudden death due to heart problems is rare in young athletes, estimated at one in 200,000. Our goal is to reduce this risk even further by screening before the sports season starts for potential cardiac problems, including other abnormalities that are much less serious but still important for athletes to be aware of.

Each student must bring a completed parental consent form with them. This form along with physical history forms, both A & B, can be downloaded here. This form must be completed and signed by a parent or legal guardian or the student will not be able to have a physical. All males are advised to wear shorts and t-shirts for the exam to make it easier to do the physical. All females are advised to wear shorts and preferably a sports bra under their t-shirt. If you have any questions, please visit www.dmu.edu or call 515-271-1041 for more info.