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ChandlerUnified School District

Chandler CARE Center Forms

The forms below are available for your convenience.

Sports Physicals - English
Please print all forms and complete forms 1-3. Physician Evaluation Form will be completed by physician during your appointment.
1. 2. 3. 4.	2019 - 2020 AIA Sports Physical Form for Parent/Guardian to Complete 2019 - 2020 AIA Sports Physical Consent to Treat Minor 2019 -2020 AIA Mild Traumatic Brain Injury and Concussion Form 2019 - 2020 AIA Physical Evaluation Form - for physician to complete

Adult ONLY Immunization Forms - English

1.	Immunization form coming soon.
2.	Updated flu consent coming soon.

Child Immunization Forms - English

1.	Immunization form coming soon.
2.	Updated flu consent coming soon.

Chiropractic Forms - English

1.	Intake Form coming soon
2.	Chiropractic Form

Dental Forms - English

1.	Intake Form coming soon
2.	History Form coming soon

TB Skin Test Forms - English

If you are in need of a TB skin test, please click here to be taken to a website with information on low cost testing.

All Medical Appointment Forms - English

1.	Intake Form coming soon
2.	Medical History Form

Southwest Behavioral Referral Form - English

1.	Southwest Behavioral Form

Vision & Hearing Forms - English

1.	Vision and Hearing Intake Form coming soon

Documents Need to Apply for AHCCCS - English

The document below will assist you in determing what items you will need to bring in with you.

1. AHCCCS Checklist


Address	Phone	Center Hours	Email
777 E. Galveston St. Chandler, AZ 85225 Map View	480-812-7900	Monday - Thursday 7:30 a.m. - 4:30 p.m. Friday 7:30 a.m. - 3:30 p.m.	chandlercarecenter@cusd80.com
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