Accelacare Physical Therapy and Occupational Services
620-271-0700
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Athlete Injury Form

  • MM slash DD slash YYYY
  • Please provide as many details as possible.
  • Please call Wes Wickwar at 640-8186 to determine if the athlete needs to go to the Emergency Room. If you can’t get a hold of him, take athlete to the Emergency Room immediately.
  • This field is for validation purposes and should be left unchanged.
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