Tanglewood Family Medical Center P.A.
Tanglewood Family Medical Center P.A.

School Physical Forms

Below you will find available for download the Pre-Participation Physical Evalution (PPE) form your child needs for their school physicals. Please fill out the front page before your visit.

School Physical Form
School Physical Form.pdf
Adobe Acrobat document [14.7 MB]

Where to Find Us

Tanglewood Family Medical Center P.A.
606 N Mulberry Rd
Derby, Ks 67037

Phone: (316) 788-3787

Fax: (316) 788-2618


After Hours Physicians Exchange (316)262-6262

Clinic Hours

Mon     8am - 6:30pm
Tues   8am - 5:30pm
Wed   8am - 7:30pm
Thurs   8am - 4:40pm
Fri   8am - 3:30pm
* Sat   8am - 10am
*(Acute Care only on Saturdays)

Hours may vary based on provider availability. Hours subject to change. Please call for scheduling.  

Lab Hours

Mon              8am - 1pm
Tues   2pm - 4pm
Wed   8am - 1pm
Thur   2pm - 4pm
Fri   8am - 1pm
Sat   Lab Closed
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© Tanglewood Family Medical Center P.A.