Thank you for your interest in joining our practice to optimize your health and wellness!

We are excited to welcome a new physician! Dr. Andrew Malinchak, will be joining HealthSprings Direct starting on February 1st, 2024. Please complete this form and someone from our office will call to set up your first appointment.

FAA Pilot Physical Request Form

1Contact Information

2Employer Information

3Medical Questions

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Sitting and Reading
Watching TV
Sitting inactive in a public place
Being a passenger in a car for an hour
Lying down in the afternoon
Sitting and talking to someone
Sitting quietly after lunch (no alcohol)
Stopping for a few minutes in traffic while driving