Follow the steps to complete the ZA MSA Medical Compliance Form online.

1. Click ‘Get Form’ button to obtain the form and open it in the online editor.
2. Begin by providing the particulars pertaining to the club, organiser, or promoter. Fill in the name of your club or promoter, the venue where the event will take place, and select the category of the event, such as motocross or oval. Additionally, ensure to include the permit number, the date of the event, and the circuit or track length. If your event involves loops, specify the distance of each loop.
3. Next, fill in the particulars of the operational medical personnel. Provide the name and qualification of the Chief Medical Officer (CMO) or Chief Medical Coordinator (CMC) for the event. Include their HPCSA registration number and the name of the ambulance service provider. Record the contact name and contact number for the ambulance service.
4. Indicate the names of hospitals designated for emergency and definitive treatment. Record the contact names, contact numbers, and distances from the venue in kilometers and estimated travel time. Also, confirm the arrangements for anti-doping testing and the designation of the Doping Control Officer.
5. Acknowledge that changes to medical personnel must be submitted by the specified deadline. Sign and date the form to confirm that all requirements have been met. Ensure that the MSA licence number and your HPCSA registration number are added.
6. Finally, submit the completed form to the Clerk of the Course for the event. Confirm with the MSA Steward that all medical personnel and services are present on the day of the event. After validation, return the signed form to MSA by the specified deadline following the event.

Ensure compliance and safety by completing the ZA MSA Medical Compliance Form online today!