Physicals For All
WE STRIVE TO CREATE A HEALTHY COMMUNITY
Intimate Healthcare and Counseling is a Nurse practitioner owned and operated facility that focuses on meeting the healthcare needs of the community.
We are continually striving to serve humanity at a larger scale by providing the best healthcare in Lee & Collier Counties, and beyond.
We provide a complete range of healthcare services including health promotion & maintenance, diagnosis and treatment of acute illnesses & chronic diseases, as well as Intravenous Therapies, and non-surgical procedures, etc.
Our Provider has been performing physicals for infants to adults for over a decade.
We have over a decade of experience performing physicals for the Boy Scouts of America, Girl Scouts, Explorers and the Summer Camp Forms associated with Both. Public, Private, Boarding Schools can be very particular about the forms and testing, we know, we perform those physicals as well.
Allergy: English Spanish Creole
Asthma: English Spanish Creole
Diabetes: English Spanish Creole
Medication Authorization Form: English Spanish Creole
Seizure (Diastat): English Spanish Creole
Other Conditions: Health History/Authorization for Treatment
Release of Information
MARCHING BAND & ACTIVITY FORMS FOR 2022 – 2023:
Physical Form (For students who are only doing marching band)
FHSAA Physical Form (For students who plan on doing marching band and other sports)
Emergency Contact Form
Student Travel Authorization
Consent and Release from Liability
Medication Authorization (Only needed if your student requires medication while at band camp.)
School Entry Requirements (English)
Asthma Action Plan (2020)
Authorization to Carry and Self-Administer Medication
Diabetes Medical Management Plan (DMMP)
Health Care Provider – Parent Consent for Medication Administration
Physicians Order and Parent Consent for Procedure Related to Insertion of Diastat
Severe Allergy and Anaphylaxis Emergency Care Plan
We also offer free occupational physicals to volunteers and emergency personnel.
Physical examinations can involve measuring physical ability, testing for alcohol and drugs, and/or other assessments. These exams can often help determine if an individual is fit to take on a position that involves any degree of physical ability or manual labor
Employment Physical Examinations typically analyze:
Muscular Tension (involves lifting, pulling and pushing actions)
*Additional expenses can be incurred depending on services selected
CDL / DOT PHYSICAL