Get Ch Uci Medical Diagnostic Form For Athletes With A Physical Impairment 2020-2025

Filling out the CH UCI Medical Diagnostic Form is a crucial process for athletes with a physical impairment who wish to participate in para-cycling. This guide provides step-by-step instructions to help you complete the form accurately and efficiently.

Follow the steps to complete the form online.

1. Click ‘Get Form’ button to obtain the form and open it in an electronic editor.
2. Begin by entering the athlete's information in the designated fields. This includes the family name, given names, gender, affiliated National Paralympic Committee or National Federation, date of birth, and UCI ID.
3. Medical information must be filled out by a registered medical doctor. The doctor will provide the athlete’s medical diagnosis, including a description of affected body parts and any limitations.
4. Indicate the primary impairments arising from the medical diagnosis by checking the relevant boxes. Note if the medical condition is stable, progressive, fluctuating, or congenital, and enter the year of onset.
5. Attach the necessary diagnostic evidence, including medical reports and examination results, to support the provided diagnosis. Ensure all documentation is in English.
6. Complete the treatment history, listing regular medications along with dosage and reasons for each.
7. Indicate any additional medical conditions or diagnoses by checking the appropriate boxes and providing descriptions as necessary.
8. Finally, the doctor's information must be filled in accurately. This includes the doctor's name, specialty, registration number, address, city, country, phone, email, signature, and date.
9. Once all sections of the form are filled out, ensure all information is reviewed for accuracy. You can then save the changes, download the form, print it, or share it as required.

Complete your form online today to ensure eligibility for para-cycling events.