Get Nhpa Medical Exemption Formrtf

Navigating the NHPA Medical Exemption Form can be straightforward when you have a clear guide. This document allows individuals with medical conditions to request permission to pitch horseshoes from a shorter distance. Follow these steps to complete the form online with confidence.

Follow the steps to effectively complete the NHPA Medical Exemption Form.

1. Click ‘Get Form’ button to obtain the form and open it in an online editor.
2. In Part I, provide your background information. Fill in your name and confirm that you are applying for the medical exemption. Specify your medical condition and the duration of this condition. Indicate whether you believe this condition is permanent and detail the areas of your body that are affected, explaining how this impacts your ability to pitch from 40 feet.
3. Continue filling out Part I by providing information on any specialists you have seen regarding your medical condition, including their name and contact details. Indicate if you have undergone any surgeries or procedures for the condition. Finally, clarify if you would continue pitching from 40 feet should the exemption be denied.
4. In Part IV, give consent for your medical doctor to release any relevant medical information to the Indiana Charter Council. Sign and provide your address, phone number, NHPA card number, and date of birth.
5. Once all parts are complete, save your changes. You can then download the form, print it, or share it as needed.

Complete your NHPA Medical Exemption Form online today and ensure your participation in sanctioned events!