Get Medical Diagnosis Form. Version

Completing the Medical Diagnosis Form is essential for athletes with physical impairments who compete in Para Table Tennis. This guide will provide you with clear, step-by-step instructions to effectively fill out the form online, ensuring that all necessary information is accurately documented.

Follow the steps to successfully complete the form.

1. Click ‘Get Form’ button to obtain the medical diagnosis form and open it in your preferred online editor.
2. Begin by entering the athlete's information, prepopulated by the National Paralympic Committee (NPC) or National Federation (NF), including family name, given name, gender, date of birth, athlete ID, and NPC/NF.
3. Select the athlete’s sport class status by ticking either 'New' or 'Review' under the athlete's sport class status section.
4. Move to the medical information section. Tick the appropriate box for the eligible impairment type that corresponds to the athlete’s condition, and provide the name of the relevant medical diagnosis.
5. Attach the necessary medical documents to support the diagnosis by ticking the boxes next to the relevant medical reports and assessments you are submitting with the form.
6. Fill out the athlete's medical history, specifically noting the age of onset, current and past treatments, and any anticipated future treatments.
7. Provide detailed information regarding medications and the reasons for their prescriptions.
8. Complete the form by entering the medical professional's name, specialty, registration number, address, city, country, phone, email, and date.
9. Review all entered information for accuracy before signing and submitting the form.
10. After completing and reviewing the form, save your changes, and choose to download, print, or share the finalized document.

Get started now by filling out your Medical Diagnosis Form online.