Get the free Medical Declaration Form for an IOC Restricted Substance - IIHF

This document serves as an application form for athletes seeking approval for the therapeutic use of prohibited substances as per WADA regulations.

How to fill out medical declaration form for

How to fill out a medical declaration form:

1. Start by providing your personal information, such as your name, date of birth, and contact details.
2. Indicate your current medical condition, including any pre-existing conditions or allergies that may be relevant.
3. Fill in information about recent travel history, including countries visited and dates of travel.
4. Declare any symptoms you may be experiencing, such as fever, cough, or difficulty breathing.
5. Provide details about any close contact you may have had with individuals who have tested positive for any contagious diseases.
6. Sign and date the form to certify the accuracy of the information provided.

Who needs a medical declaration form:

1. Individuals traveling internationally may be required to fill out a medical declaration form as part of entry requirements.
2. Patients visiting a healthcare facility or hospital may need to complete a medical declaration form to assess their health status.
3. Employees returning to work after a prolonged absence due to illness may be asked to fill out a medical declaration form to ensure they are fit to resume work duties.

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What is medical declaration form for?

The medical declaration form is used to provide information about the individual's medical history, current health conditions, and any potential risks or illnesses that may affect public health.

Who is required to file medical declaration form for?

The medical declaration form is required to be filed by individuals who are travelling to a specific country, entering a medical facility, or participating in certain events that require health information.

How to fill out medical declaration form for?

To fill out the medical declaration form, you need to provide your personal details, contact information, medical history, current health conditions, and any relevant documents or certificates.

What is the purpose of medical declaration form for?

The purpose of the medical declaration form is to assess the health status of an individual and identify any potential risks or illnesses that could affect public health or the safety of others.

What information must be reported on medical declaration form for?

The medical declaration form requires information about the individual's medical history, current health conditions, any recent illnesses or symptoms, and details of any vaccinations or medications taken.