• 2020 Marathon Preventive Physical Form Secure Submission

    Upload your completed form by 12/31/20.

    Before you submit your form, please review the form to ensure the following:

    • All required sections of the form are completed.
    • You and your provider have both signed the form.
    • All print is clear and legible.
    • The date of your physical is between 01/01/20 and 12/31/20.
    • The email you provided is valid so you can receive an update on status of your form within 48 business hours (up to 2 business days).






  • Accepted file types: jpg, gif, png, pdf.