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MHSAA Sports Physical Form (Spanish)

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Last Updated April 30, 2026

MHSAA Sports Physical Form (Spanish)

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Bellaire Family Health Center & Pharmacy

4955 S M-88 Highway
Bellaire, MI 49615
Phone: (231) 533-8649
Fax: (231) 533-6778

Pharmacy:
Phone: (231) 533-6655
Fax: (231) 533-5331

East Jordan Family Health Center
& Pharmacy

601 Bridge St.
East Jordan, MI 49727
Phone: (231) 536-2206
Fax: (231) 536-7150

Pharmacy:
Phone: (231) 536-2207
Fax: (231) 222-2235

East Jordan Family Health Center is a Federal Tort Claims Act (FTCA) deemed facility. This health center receives HHS funding and has Federal Public Health Service (PHS) deemed status with respect to certain health or health-related claims, including medical malpractice claims, for itself and its covered individuals.

This health center is a Health Center Program grantee under 42 U.S.C. 254b, and a deemed Public Health Service employee under 42 U.S.C. 233(g)-(n).

Bellaire and East Jordan Family Health Centers are committed to ensuring our website is accessible to all users, including individuals with disabilities. We strive to meet WCAG 2.1 AA accessibility standards and are actively working to improve the usability of our website for everyone.

If you experience any difficulty accessing content or need assistance, please contact us at 231-536-2206. We welcome your feedback and will make reasonable efforts to address accessibility concerns promptly.

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The Bellaire and East Jordan Family Health Center is experiencing issues with our internet systems. This has also impacted our East Jordan location phone systems. We are working to resolve this issue with Charter. Thank you for your patience.

The Patient Portal will be unavailable October 18-20, 2024 due to scheduled maintenance. We apologize for the inconvenience.