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100 Hospital Drive, Pender, NE 68047 | Main: (402) 385-3083 | Nurses Station: (402) 385-4066

The Vision of the PCH District is to be the
Best Place to Get Care and the Best Place to Give Care.


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School Physicals

Come Prepared with your paperwork completed!


This year,we are asking families to complete their annual school physical history form & NSAA consent form, prior to their appointment. By taking this extra step, it allows us to speed up your visit and limit contact points that could be spreading unwanted germs.
Fill out the forms linked below for each child's annual physical. Bring a printed copy of both forms to your annual physical appointment at the Pender Medical Clinic or one of the satellite clinics in Emerson, Beemer, or Bancroft.

Preparticipation Physical Evaluation History Form



NSAA Consent Form